| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $3,981.07 | $9,772.37 | |
BCBS
| Facility | $14,125.38 | $38,018.94 | $72,443.60 | |
Hally Health
| Professional | $3,235.94 | $5,495.41 | $19,054.61 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,951.21 | $7,413.10 |