| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,356.48 | $2,356.48 | $2,950.62 | |
BCBS
| Facility | $7,855.45 | $16,803.12 | $33,648.24 | |
Hally Health
| Professional | $1,442.05 | $2,131.75 | $7,396.08 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |