| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $5,128.61 | $22,908.68 | |
BCBS
| Facility | $8,317.64 | $15,848.93 | $19,952.62 | |
Cigna
| Facility | $4,897.79 | $14,125.38 | $19,054.61 | |
Hally Health
| Professional | $549.54 | $912.01 | $2,691.53 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,659.59 | $10,964.78 | $26,915.35 |