| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $3,235.94 | $9,772.37 | |
BCBS
| Facility | $4,466.84 | $12,022.64 | $23,442.29 | |
Hally Health
| Professional | $1,023.29 | $1,778.28 | $5,754.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |