| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $610.63 | $2,758.00 | $5,580.00 | |
BCBS
| Facility | $1,245.15 | $2,663.44 | $5,333.53 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $195.89 | $328.86 | $2,520.66 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $150.00 | $963.00 | $3,686.00 |