| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $154.88 | $2,041.74 | |
BCBS
| Facility | $363.08 | $977.24 | $1,862.09 | |
Hally Health
| Professional | $91.20 | $138.04 | $457.09 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $831.76 | $2,630.27 |