| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $931.96 | $2,989.00 | $8,089.00 | |
BCBS
| Facility | $9,148.27 | $15,959.21 | $21,988.25 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $1,000.92 | $1,571.69 | $6,182.41 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,276.00 | $8,141.00 | $21,651.00 |