| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $1,862.09 | $5,623.41 | |
BCBS
| Facility | $2,454.71 | $5,128.61 | $6,760.83 | |
Hally Health
| Professional | $323.59 | $1,513.56 | $2,187.76 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,288.25 | $3,548.13 | $7,585.78 |