| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $3,548.13 | $8,912.51 | |
BCBS
| Facility | $1,230.27 | $3,311.31 | $6,309.57 | |
Hally Health
| Professional | $281.84 | $436.52 | $3,981.07 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |