| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $825.00 | $2,784.00 | $7,123.00 | |
BCBS
| Facility | $4,566.00 | $9,240.00 | $21,495.00 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $802.37 | $1,277.82 | $2,852.30 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,152.00 | $5,000.00 | $8,995.00 |