| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.00 | $1,882.00 | $5,549.00 | |
BCBS
| Facility | $3,441.42 | $6,995.03 | $11,446.08 | |
Cigna
| Facility | $620.00 | $620.00 | $643.00 | |
Hally Health
| Professional | $433.32 | $687.52 | $1,992.08 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,300.00 | $5,978.00 | $12,241.00 |