| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $1,995.26 | $7,762.47 | |
BCBS
| Facility | $1,479.11 | $4,073.80 | $7,762.47 | |
Hally Health
| Professional | $316.23 | $501.19 | $2,290.87 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $158.49 | $1,023.29 | $2,290.87 |