| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $2,187.76 | $7,762.47 | |
BCBS
| Facility | $1,819.70 | $4,897.79 | $9,332.54 | |
Hally Health
| Professional | $416.87 | $707.95 | $2,570.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |