| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $1,862.09 | $5,011.87 | $9,549.93 | |
Hally Health
| Professional | $416.87 | $724.44 | $2,454.71 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |