| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $1,258.93 | $3,388.44 | $6,456.54 | |
Hally Health
| Professional | $281.84 | $446.68 | $1,096.48 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |