| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $3,715.35 | $9,772.37 | |
BCBS
| Facility | $4,168.69 | $5,128.61 | $19,498.45 | |
Hally Health
| Professional | $933.25 | $1,479.11 | $3,715.35 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,778.28 | $7,079.46 | $14,454.40 |