| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.62 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $69.18 | $186.21 | $363.08 | |
Hally Health
| Professional | $17.78 | $29.51 | $114.82 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |