| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,159.00 | $3,636.00 | $5,549.00 | |
BCBS
| Facility | $16,973.61 | $36,307.19 | $72,705.16 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $2,449.63 | $3,808.07 | $10,027.45 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $578.00 | $2,873.00 | $7,384.00 |