| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $1,862.09 | $5,888.44 | |
BCBS
| Facility | $1,905.46 | $4,570.88 | $6,165.95 | |
Hally Health
| Professional | $295.12 | $1,258.93 | $1,659.59 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,348.96 | $4,365.16 | $9,332.54 |