| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.36 | $1,055.00 | $4,634.00 | |
BCBS
| Facility | $849.27 | $1,252.88 | $1,975.67 | |
Cigna
| Facility | $875.00 | $929.98 | $1,038.21 | |
Hally Health
| Professional | $124.90 | $211.96 | $617.24 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $807.00 | $1,753.00 | $4,256.00 |