| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.17 | $63.91 | $75.93 | |
BCBS
| Facility | $182.43 | $390.24 | $781.45 | |
Hally Health
| Professional | $44.87 | $64.45 | $239.72 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |