| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $7,762.47 | $20,892.96 | $40,738.03 | |
Hally Health
| Professional | $1,548.82 | $2,691.53 | $6,309.57 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |