| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,236.33 | $3,251.00 | $10,073.00 | |
BCBS
| Facility | $5,325.75 | $11,647.09 | $25,403.79 | |
Cigna
| Facility | $996.00 | $11,558.00 | $13,383.00 | |
Hally Health
| Professional | $1,007.79 | $1,697.81 | $5,286.12 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,850.00 | $5,978.00 | $12,241.00 |