| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,272.00 | $4,200.00 | $11,615.72 | |
BCBS
| Facility | $6,076.13 | $10,015.60 | $23,299.29 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $879.56 | $1,399.30 | $4,289.25 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,300.00 | $5,978.00 | $12,241.00 |