| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $433.53 | $1,278.00 | $5,549.00 | |
BCBS
| Facility | $1,576.55 | $3,372.32 | $6,753.07 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $284.24 | $446.29 | $1,076.22 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $785.00 | $2,714.00 | $6,625.00 |