| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $1,862.09 | $5,888.44 | |
BCBS
| Facility | $2,570.40 | $3,019.95 | $6,165.95 | |
Hally Health
| Professional | $371.54 | $676.08 | $1,737.80 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,174.90 | $2,290.87 | $4,897.79 |