| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,311.31 | $5,754.40 | $10,000.00 | |
Aetna
| Professional | $1,000.00 | $2,754.23 | $5,128.61 | |
BCBS
| Facility | $4,073.80 | $11,748.98 | $41,686.94 | |
BCBS
| Professional | $3.47 | $2,570.40 | $2,570.40 | |
Cigna
| Facility | $2,137.96 | $7,079.46 | $15,135.61 | |
Cigna
| Professional | $1,698.24 | $3,981.07 | $5,623.41 | |
Hally Health
| Professional | $2,630.27 | $5,623.41 | $13,182.57 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $4,365.16 | $4,365.16 | $4,365.16 | |
United
| Facility | $2,137.96 | $3,311.31 | $6,606.93 | |
United
| Professional | $1,380.38 | $1,995.26 | $3,311.31 |