| 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 | $21,877.62 | |
Hally Health
| Professional | $1,023.29 | $1,659.59 | $6,456.54 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,570.40 | $6,165.95 | $13,803.84 |