| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $1,479.11 | $5,623.41 | |
BCBS
| Facility | $524.81 | $630.96 | $2,238.72 | |
Hally Health
| Professional | $154.88 | $309.03 | $1,000.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $158.49 | $758.58 | $2,187.76 |