| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $325.94 | $1,609.00 | $5,549.00 | |
BCBS
| Facility | $1,101.39 | $2,355.92 | $4,717.72 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $210.23 | $306.58 | $1,560.36 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $800.00 | $2,690.00 | $6,362.00 |