| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,159.00 | $3,283.51 | $7,723.00 | |
BCBS
| Facility | $10,661.24 | $22,804.80 | $45,666.61 | |
Cigna
| Facility | $875.00 | $10,710.00 | $17,537.00 | |
Hally Health
| Professional | $1,940.15 | $2,978.64 | $9,423.45 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $800.00 | $2,800.00 | $7,384.00 |