| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $1,621.81 | $5,623.41 | |
BCBS
| Facility | $912.01 | $1,288.25 | $1,862.09 | |
Cigna
| Facility | $933.25 | $933.25 | $933.25 | |
Hally Health
| Professional | $125.89 | $223.87 | $776.25 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $724.44 | $1,479.11 | $3,715.35 |