| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.49 | $755.00 | $4,432.00 | |
BCBS
| Facility | $1,225.03 | $5,924.03 | $12,921.07 | |
Cigna
| Facility | $875.00 | $929.98 | $1,038.21 | |
Hally Health
| Professional | $119.62 | $211.45 | $738.65 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $807.00 | $1,753.00 | $4,256.00 |