| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $481.67 | $2,747.00 | $5,580.00 | |
BCBS
| Facility | $1,533.84 | $3,280.96 | $6,570.12 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $295.07 | $431.99 | $3,967.58 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $891.00 | $3,592.00 |