| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $709.98 | $709.98 | $709.98 | |
BCBS
| Facility | $1,382.88 | $1,735.40 | $2,588.29 | |
Cigna
| Facility | $594.32 | $594.32 | $594.32 | |
Hally Health
| Professional | $548.39 | $797.66 | $1,246.34 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |