| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,272.00 | $5,549.00 | $9,691.00 | |
Aetna
| Professional | $1,017.00 | $6,116.00 | $10,073.00 | |
BCBS
| Facility | $33,540.47 | $41,250.75 | $50,740.71 | |
Cigna
| Facility | $2,060.00 | $6,773.00 | $8,602.00 | |
Hally Health
| Professional | $100.00 | $200.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $3,570.00 | $16,498.00 | $44,061.00 |