| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $8.91 | $8.91 | |
BCBS
| Facility | $5.89 | $6.61 | $7.94 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $3.72 | $3.72 | $12.30 |