| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $245.47 | $354.81 | |
BCBS
| Facility | $109.65 | $186.21 | $776.25 | |
Hally Health
| Professional | $120.23 | $213.80 | $338.84 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |