| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.23 | $1,159.00 | $5,091.00 | |
BCBS
| Facility | $278.48 | $595.67 | $1,192.83 | |
Hally Health
| Professional | $74.79 | $295.31 | $611.98 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $900.00 | $3,686.00 |