| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.39 | $1,696.07 | $4,845.50 | |
BCBS
| Facility | $2,259.12 | $4,644.58 | $7,073.00 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $345.40 | $1,480.92 | $2,275.66 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $930.00 | $3,951.00 | $6,625.00 |