| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.04 | $1,272.00 | $5,389.00 | |
BCBS
| Facility | $1,111.94 | $2,186.36 | $3,279.74 | |
Cigna
| Facility | $463.00 | $463.00 | $480.00 | |
Hally Health
| Professional | $129.54 | $204.50 | $419.91 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $749.00 | $2,622.00 | $5,026.00 |