| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,235.94 | $9,772.37 | |
BCBS
| Facility | $3,548.13 | $9,549.93 | $18,620.87 | |
Hally Health
| Professional | $812.83 | $1,412.54 | $4,677.35 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |