| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $1,995.26 | $5,888.44 | |
BCBS
| Facility | $1,778.28 | $4,786.30 | $9,120.11 | |
Hally Health
| Professional | $371.54 | $676.08 | $4,897.79 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |