| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $4,677.35 | $9,772.37 | |
BCBS
| Facility | $16,218.10 | $43,651.58 | $83,176.38 | |
Hally Health
| Professional | $3,162.28 | $5,370.32 | $16,982.44 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,951.21 | $7,413.10 |