| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.47 | $1,169.00 | $5,091.00 | |
BCBS
| Facility | $3,441.42 | $6,995.03 | $11,063.76 | |
Cigna
| Facility | $463.00 | $463.00 | $480.00 | |
Hally Health
| Professional | $493.92 | $735.34 | $2,373.59 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $930.00 | $3,951.00 | $6,625.00 |