| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.48 | $1,988.00 | $10,227.06 | |
BCBS
| Facility | $2,368.39 | $5,066.08 | $10,144.82 | |
Hally Health
| Professional | $329.48 | $473.31 | $1,626.90 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $204.00 | $2,224.00 | $23,753.00 |