| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $2,570.40 | $7,762.47 | |
BCBS
| Facility | $7,079.46 | $19,054.61 | $36,307.81 | |
Hally Health
| Professional | $1,000.00 | $1,862.09 | $6,025.60 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |