| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $4,466.84 | $14,125.38 | |
BCBS
| Facility | $1,202.26 | $3,235.94 | $6,309.57 | |
Hally Health
| Professional | $269.15 | $426.58 | $1,047.13 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $831.76 | $2,630.27 |