| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $347.46 | $1,159.00 | $4,634.00 | |
BCBS
| Facility | $748.11 | $1,956.89 | $3,559.20 | |
Cigna
| Facility | $315.50 | $647.66 | $1,300.00 | |
Hally Health
| Professional | $249.83 | $664.36 | $1,184.21 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $815.00 | $2,588.00 | $4,780.00 |