| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $51.29 | $6,760.83 | |
BCBS
| Facility | $138.04 | $371.54 | $707.95 | |
Hally Health
| Professional | $32.36 | $64.57 | $1,174.90 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $30.90 | $30.90 | $30.90 |