| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $3,548.13 | $8,511.38 | |
BCBS
| Facility | $954.99 | $2,570.40 | $5,011.87 | |
Hally Health
| Professional | $173.78 | $316.23 | $3,311.31 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $831.76 | $2,630.27 |