| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,272.00 | $3,270.00 | $10,073.00 | |
BCBS
| Facility | $5,535.43 | $12,496.99 | $27,257.52 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $1,100.03 | $1,907.38 | $6,764.47 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,530.00 | $5,978.00 | $12,241.00 |