| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.50 | $155.22 | $11,617.00 | |
BCBS
| Facility | $733.97 | $1,570.00 | $3,143.92 | |
Cigna
| Facility | $7,462.00 | $13,165.00 | $13,389.00 | |
Hally Health
| Professional | $108.99 | $151.59 | $398.95 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $900.00 | $3,686.00 |