| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.58 | $1,159.00 | $5,091.00 | |
BCBS
| Facility | $3,441.42 | $6,730.07 | $9,484.69 | |
Cigna
| Facility | $463.00 | $463.00 | $480.00 | |
Hally Health
| Professional | $393.40 | $596.24 | $1,488.63 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $930.00 | $3,951.00 | $6,625.00 |