| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $2,137.96 | $7,762.47 | |
BCBS
| Facility | $2,454.71 | $5,128.61 | $7,079.46 | |
Hally Health
| Professional | $338.84 | $1,513.56 | $3,630.78 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,584.89 | $4,365.16 | $9,332.54 |