| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $1,584.89 | $6,456.54 | |
BCBS
| Facility | $588.84 | $1,584.89 | $3,019.95 | |
Hally Health
| Professional | $128.82 | $194.98 | $891.25 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |