| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $2,570.40 | $7,762.47 | |
BCBS
| Facility | $1,778.28 | $4,073.80 | $5,370.32 | |
Hally Health
| Professional | $131.83 | $213.80 | $758.58 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $660.69 | $1,949.84 | $4,466.84 |