| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.88 | $849.00 | $4,845.50 | |
BCBS
| Facility | $1,644.17 | $3,516.96 | $7,042.71 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $313.95 | $458.68 | $1,484.11 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $891.00 | $3,685.00 |