| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $74.13 | $74.13 | |
BCBS
| Facility | $93.33 | $218.78 | $851.14 | |
Hally Health
| Professional | $46.77 | $89.13 | $223.87 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $43.65 | $43.65 | $43.65 |