| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $1,862.09 | $7,762.47 | |
BCBS
| Facility | $1,148.15 | $3,090.30 | $6,025.60 | |
Hally Health
| Professional | $257.04 | $446.68 | $1,584.89 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |