| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $7,413.10 | $33,113.11 | |
BCBS
| Facility | $4,897.79 | $15,848.93 | $38,018.94 | |
Hally Health
| Professional | $933.25 | $1,548.82 | $5,495.41 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,995.26 | $9,332.54 | $50,118.72 |