| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,159.00 | $4,200.00 | $8,017.04 | |
BCBS
| Facility | $21,446.35 | $45,874.56 | $91,863.80 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $3,689.85 | $5,765.21 | $18,534.56 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $578.00 | $2,873.00 | $7,384.00 |