| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.99 | $76.18 | $243.86 | |
BCBS
| Facility | $211.45 | $452.32 | $905.77 | |
Cigna
| Facility | $7,462.00 | $13,165.00 | $13,389.00 | |
Hally Health
| Professional | $29.38 | $42.56 | $512.67 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $963.00 | $3,705.00 |