| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $3,801.89 | $10,000.00 | |
BCBS
| Facility | $4,786.30 | $23,988.33 | $33,113.11 | |
Hally Health
| Professional | $467.74 | $812.83 | $2,951.21 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $3,467.37 | $17,782.79 | $45,708.82 |