| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $4,897.79 | $13,182.57 | $25,118.86 | |
Hally Health
| Professional | $1,096.48 | $1,819.70 | $6,606.93 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |