| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $3,090.30 | $8,511.38 | |
BCBS
| Facility | $1,513.56 | $4,073.80 | $7,762.47 | |
Hally Health
| Professional | $331.13 | $575.44 | $1,621.81 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $616.60 | $2,951.21 | $7,413.10 |