| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $562.34 | $831.76 | |
Aetna
| Professional | $251.19 | $380.19 | $380.19 | |
BCBS
| Facility | $275.42 | $309.03 | $371.54 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $275.42 | $275.42 | $575.44 |