| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.27 | $1,233.27 | $4,634.00 | |
BCBS
| Facility | $1,225.03 | $3,202.34 | $6,984.72 | |
Cigna
| Facility | $463.00 | $929.98 | $1,038.21 | |
Hally Health
| Professional | $428.87 | $878.28 | $2,826.80 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $807.00 | $1,900.00 | $4,256.00 |