| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $4,365.16 | $8,511.38 | |
BCBS
| Facility | $9,772.37 | $26,915.35 | $51,286.14 | |
Hally Health
| Professional | $2,238.72 | $3,890.45 | $12,302.69 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |