| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $1,862.09 | $5,623.41 | |
BCBS
| Facility | $436.52 | $1,174.90 | $2,290.87 | |
Hally Health
| Professional | $117.49 | $190.55 | $512.86 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |