| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $2,884.03 | $7,762.47 | |
BCBS
| Facility | $3,890.45 | $7,762.47 | $10,964.78 | |
Hally Health
| Professional | $446.68 | $724.44 | $2,951.21 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,288.25 | $4,265.80 | $7,585.78 |