| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $5,623.41 | $15,135.61 | |
Aetna
| Professional | $1,023.29 | $7,762.47 | $15,848.93 | |
Cigna
| Facility | $4,677.35 | $8,317.64 | $16,218.10 | |
Hally Health
| Professional | $120.23 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $158.49 | $2,089.30 | $23,442.29 |