| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $4,677.35 | $9,120.11 | |
BCBS
| Facility | $14,454.40 | $38,904.51 | $75,857.76 | |
Hally Health
| Professional | $3,019.95 | $5,011.87 | $18,197.01 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,951.21 | $7,413.10 |