| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.00 | $1,411.00 | $5,091.00 | |
BCBS
| Facility | $2,002.61 | $4,122.34 | $6,030.60 | |
Cigna
| Facility | $620.00 | $620.00 | $643.00 | |
Hally Health
| Professional | $227.66 | $563.62 | $1,141.68 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $930.00 | $3,951.00 | $6,625.00 |