| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.32 | $51.21 | $6,684.70 | |
BCBS
| Facility | $136.97 | $366.19 | $709.32 | |
Cigna
| Facility | $36.29 | $36.29 | $36.29 | |
Hally Health
| Professional | $32.71 | $50.22 | $948.57 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |