| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $4,168.69 | $11,220.18 | $21,877.62 | |
Hally Health
| Professional | $891.25 | $1,659.59 | $4,786.30 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |