| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $2,344.23 | $7,762.47 | |
Aetna
| Professional | $162.18 | $257.04 | $331.13 | |
BCBS
| Facility | $575.44 | $645.65 | $776.25 | |
Hally Health
| Professional | $120.23 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $158.49 | $758.58 | $2,187.76 | |
United
| Professional | $288.40 | $380.19 | $602.56 |