| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.73 | $27.73 | $483.50 | |
Aetna
| Professional | $10.95 | $27.73 | $35.92 | |
BCBS
| Facility | $42.82 | $51.24 | $64.78 | |
Hally Health
| Professional | $100.00 | $150.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |