| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $2,511.89 | $10,471.29 | |
BCBS
| Facility | $6,918.31 | $10,471.29 | $14,791.08 | |
Hally Health
| Professional | $691.83 | $1,096.48 | $4,073.80 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,778.28 | $5,495.41 | $9,772.37 |