| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.69 | $84.92 | $208.12 | |
BCBS
| Facility | $243.20 | $482.98 | $1,478.02 | |
Hally Health
| Professional | $105.08 | $150.12 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |