| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $556.14 | $974.10 | $7,236.44 | |
BCBS
| Facility | $2,244.56 | $4,801.20 | $9,614.40 | |
Hally Health
| Professional | $358.09 | $4,541.70 | $7,764.39 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |