| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.39 | $41.59 | $418.38 | |
BCBS
| Facility | $73.59 | $132.83 | $571.41 | |
Hally Health
| Professional | $31.79 | $402.88 | $582.80 | |
Hally Health
| Facility | $2,429.96 | $2,429.96 | $2,429.96 | |
United
| Facility | $619.27 | $619.27 | $619.27 |