| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,220.30 | $1,845.22 | $3,193.41 | |
BCBS
| Facility | $4,783.87 | $9,114.74 | $18,329.64 | |
Hally Health
| Professional | $884.44 | $2,102.57 | $5,528.44 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |