| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $1,819.70 | $5,623.41 | |
BCBS
| Facility | $478.63 | $1,148.15 | $1,548.82 | |
Cigna
| Facility | $302.00 | $977.24 | $1,000.00 | |
Hally Health
| Professional | $72.44 | $1,071.52 | $1,659.59 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $776.25 | $2,187.76 | $4,570.88 |