| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $1,995.26 | $7,762.47 | |
BCBS
| Facility | $2,041.74 | $4,570.88 | $6,025.60 | |
Hally Health
| Professional | $158.49 | $251.19 | $912.01 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,288.25 | $3,548.13 | $7,585.78 |