| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $870.96 | $2,344.23 | $4,570.88 | |
Hally Health
| Professional | $199.53 | $316.23 | $1,584.89 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $616.60 | $2,951.21 | $7,413.10 |