| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $1,479.11 | $3,981.07 | $7,585.78 | |
Hally Health
| Professional | $316.23 | $524.81 | $2,041.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 |