| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.35 | $358.87 | $583.75 | |
BCBS
| Facility | $1,595.14 | $3,412.08 | $6,832.69 | |
Hally Health
| Professional | $249.27 | $351.25 | $949.28 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |