| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $600.00 | $1,848.00 | $5,389.00 | |
Aetna
| Professional | $27.58 | $27.58 | $649.01 | |
BCBS
| Facility | $746.57 | $893.34 | $1,129.43 | |
Hally Health
| Professional | $100.00 | $150.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $1,032.00 | $3,686.00 |