| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $416.87 | $446.68 | $1,148.15 | |
BCBS
| Facility | $1,000.00 | $1,122.02 | $1,380.38 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $660.69 | $660.69 | $2,089.30 |