| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $1,288.25 | $7,762.47 | |
BCBS
| Facility | $676.08 | $1,995.26 | $3,019.95 | |
Cigna
| Facility | $398.11 | $575.44 | $1,288.25 | |
Hally Health
| Professional | $251.19 | $758.58 | $1,288.25 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $891.25 | $2,238.72 | $4,677.35 |