| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $964.62 | $2,157.00 | $5,405.00 | |
BCBS
| Facility | $2,544.51 | $9,468.84 | $22,027.35 | |
Cigna
| Facility | $709.00 | $709.00 | $735.00 | |
Hally Health
| Professional | $960.10 | $1,497.54 | $5,386.54 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,165.00 | $3,733.00 | $6,625.00 |