| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $512.86 | $537.03 | |
BCBS
| Facility | $676.08 | $1,148.15 | $1,258.93 | |
Hally Health
| Professional | $354.81 | $977.24 | $1,862.09 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |