| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $1,995.26 | $7,762.47 | |
BCBS
| Facility | $1,412.54 | $3,801.89 | $7,244.36 | |
Hally Health
| Professional | $338.84 | $549.54 | $1,288.25 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |