| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $755.00 | $2,462.00 | $9,691.00 | |
BCBS
| Facility | $6,523.21 | $12,724.02 | $19,684.83 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $743.24 | $1,212.34 | $4,273.93 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,300.00 | $5,978.00 | $12,241.00 |