| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $1,995.26 | $7,762.47 | |
BCBS
| Facility | $1,288.25 | $3,467.37 | $6,606.93 | |
Hally Health
| Professional | $269.15 | $489.78 | $1,380.38 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |