| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,511.89 | $9,772.37 | |
BCBS
| Facility | $3,890.45 | $7,762.47 | $10,964.78 | |
Hally Health
| Professional | $416.87 | $676.08 | $2,089.30 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,089.30 | $5,370.32 | $12,302.69 |