| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $2,511.89 | $7,762.47 | |
BCBS
| Facility | $2,454.71 | $5,128.61 | $6,760.83 | |
Hally Health
| Professional | $263.03 | $416.87 | $1,479.11 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,584.89 | $4,365.16 | $9,332.54 |