| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $478.63 | $5,623.41 | |
Aetna
| Professional | $20.42 | $26.92 | $34.67 | |
BCBS
| Facility | $45.71 | $51.29 | $63.10 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $28.18 | $28.18 | $95.50 |