| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $4,466.84 | $14,125.38 | |
BCBS
| Facility | $7,413.10 | $19,952.62 | $38,018.94 | |
Hally Health
| Professional | $1,380.38 | $2,238.72 | $7,585.78 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |