| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $472.38 | $1,609.00 | $5,549.00 | |
BCBS
| Facility | $1,650.49 | $3,530.48 | $7,069.78 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $314.24 | $454.54 | $1,454.06 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $800.00 | $2,800.00 | $7,384.00 |