| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.00 | $5,389.00 | $16,990.00 | |
Aetna
| Professional | $1,017.00 | $5,389.00 | $11,975.00 | |
Cigna
| Facility | $7,140.00 | $7,429.00 | $16,193.00 | |
Hally Health
| Professional | $100.00 | $200.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $204.00 | $3,399.00 | $24,971.00 |