| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $3,235.94 | $7,943.28 | |
BCBS
| Facility | $1,318.26 | $3,548.13 | $6,918.31 | |
Hally Health
| Professional | $309.03 | $457.09 | $1,659.59 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |