| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $2,570.40 | $7,762.47 | |
BCBS
| Facility | $691.83 | $1,862.09 | $3,548.13 | |
Hally Health
| Professional | $154.88 | $239.88 | $1,230.27 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |