| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $1,621.81 | $5,623.41 | |
BCBS
| Facility | $194.98 | $524.81 | $1,000.00 | |
Hally Health
| Professional | $58.88 | $109.65 | $380.19 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |