| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,550.56 | $1,550.56 | $1,895.65 | |
BCBS
| Facility | $4,375.80 | $9,360.00 | $18,743.40 | |
Hally Health
| Professional | $832.82 | $1,361.59 | $3,325.79 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |