| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $1,862.09 | $5,623.41 | |
BCBS
| Facility | $4,677.35 | $12,302.69 | $16,218.10 | |
Hally Health
| Professional | $389.05 | $645.65 | $1,698.24 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $891.25 | $2,951.21 | $7,943.28 |