| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.86 | $813.00 | $5,389.00 | |
BCBS
| Facility | $732.73 | $1,225.03 | $1,726.19 | |
Cigna
| Facility | $463.00 | $929.98 | $1,038.21 | |
Hally Health
| Professional | $88.54 | $133.79 | $1,645.05 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $807.00 | $1,900.00 | $4,256.00 |