| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $1,862.09 | $5,623.41 | |
BCBS
| Facility | $5,128.61 | $7,762.47 | $10,471.29 | |
Hally Health
| Professional | $457.09 | $741.31 | $2,570.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,288.25 | $4,265.80 | $7,585.78 |