| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $5,370.32 | $15,848.93 | |
BCBS
| Facility | $5,011.87 | $8,317.64 | $10,715.19 | |
Hally Health
| Professional | $398.11 | $4,466.84 | $8,912.51 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $3,311.31 | $7,244.36 | $21,877.62 |