| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.82 | $1,609.00 | $5,549.00 | |
BCBS
| Facility | $87.77 | $187.76 | $375.98 | |
Hally Health
| Professional | $18.30 | $28.46 | $93.64 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $900.00 | $3,686.00 |