| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $1,318.26 | $3,548.13 | $6,760.83 | |
Hally Health
| Professional | $302.00 | $457.09 | $1,479.11 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $616.60 | $2,951.21 | $7,413.10 |