| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $665.00 | $787.00 | $967.00 | |
BCBS
| Facility | $1,860.00 | $2,146.00 | $3,929.00 | |
Cigna
| Facility | $330.00 | $800.00 | $1,491.00 | |
Hally Health
| Facility | $120.00 | $1,500.00 | $2,421.00 |