| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $5,128.61 | $14,454.40 | |
BCBS
| Facility | $6,456.54 | $8,709.64 | $26,302.68 | |
Hally Health
| Professional | $1,380.38 | $2,238.72 | $6,309.57 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,089.30 | $5,370.32 | $12,302.69 |