| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $1,995.26 | $7,762.47 | |
BCBS
| Facility | $1,737.80 | $4,677.35 | $8,912.51 | |
Hally Health
| Professional | $371.54 | $660.69 | $1,905.46 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |