| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.25 | $86.99 | $1,000.00 | |
BCBS
| Facility | $305.14 | $655.49 | $2,285.16 | |
Hally Health
| Professional | $30.23 | $73.68 | $327.86 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |