| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $5,128.61 | $10,715.19 | |
BCBS
| Facility | $7,079.46 | $13,803.84 | $26,915.35 | |
Hally Health
| Professional | $1,148.15 | $1,862.09 | $6,309.57 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,089.30 | $6,918.31 | $12,882.50 |