| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.00 | $875.00 | $1,015.00 | |
BCBS
| Facility | $1,833.00 | $2,146.00 | $3,929.00 | |
Cigna
| Facility | $366.00 | $761.00 | $897.00 | |
Hally Health
| Facility | $100.00 | $125.00 | $650.00 |