| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $3,090.30 | $9,772.37 | |
BCBS
| Facility | $4,786.30 | $12,882.50 | $24,547.09 | |
Hally Health
| Professional | $1,071.52 | $1,778.28 | $5,495.41 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |