| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $1,698.24 | $5,623.41 | |
BCBS
| Facility | $524.81 | $630.96 | $2,511.89 | |
Hally Health
| Professional | $162.18 | $281.84 | $758.58 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $158.49 | $758.58 | $2,187.76 |