| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $5,128.61 | $11,220.18 | |
BCBS
| Facility | $5,370.32 | $6,456.54 | $23,442.29 | |
Cigna
| Facility | $8,317.64 | $11,481.54 | $13,489.63 | |
Hally Health
| Professional | $912.01 | $1,698.24 | $5,888.44 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,041.74 | $5,370.32 | $12,302.69 |