| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $602.56 | $602.56 | |
BCBS
| Facility | $1,905.46 | $2,137.96 | $4,073.80 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Hally Health
| Facility | $100.00 | $199.53 | $346.74 |