| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $2,884.03 | $8,511.38 | |
BCBS
| Facility | $2,454.71 | $5,128.61 | $7,244.36 | |
Hally Health
| Professional | $331.13 | $501.19 | $1,445.44 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,288.25 | $3,548.13 | $7,585.78 |