| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $650.53 | $2,157.00 | $5,389.00 | |
BCBS
| Facility | $2,468.13 | $5,213.14 | $9,456.79 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $454.75 | $1,776.22 | $4,179.76 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,152.00 | $4,803.00 | $8,995.00 |