| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $660.69 | $1,778.28 | $3,467.37 | |
Hally Health
| Professional | $165.96 | $263.03 | $831.76 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |