| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $1,819.70 | $5,623.41 | |
BCBS
| Facility | $489.78 | $912.01 | $1,288.25 | |
Hally Health
| Professional | $81.28 | $134.90 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $512.86 | $1,445.44 | $3,801.89 |