| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $3,235.94 | $8,511.38 | |
BCBS
| Facility | $2,570.40 | $3,019.95 | $6,025.60 | |
Hally Health
| Professional | $346.74 | $630.96 | $2,041.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,174.90 | $2,290.87 | $4,897.79 |