| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.01 | $1,129.00 | $5,389.00 | |
BCBS
| Facility | $2,390.19 | $5,074.37 | $9,158.15 | |
Cigna
| Facility | $463.00 | $463.00 | $480.00 | |
Hally Health
| Professional | $410.03 | $618.88 | $1,533.90 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $749.00 | $2,622.00 | $5,026.00 |