| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $4,466.84 | $8,128.31 | $17,782.79 | |
Hally Health
| Professional | $1,000.00 | $1,659.59 | $4,677.35 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,570.40 | $6,456.54 | $14,791.08 |