| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $2,187.76 | $5,888.44 | |
BCBS
| Facility | $501.19 | $1,348.96 | $2,570.40 | |
Hally Health
| Professional | $120.23 | $177.83 | $676.08 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |