| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $1,995.26 | $7,762.47 | |
BCBS
| Facility | $3,090.30 | $8,317.64 | $15,848.93 | |
Hally Health
| Professional | $660.69 | $1,174.90 | $3,235.94 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |