| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $272.00 | $565.03 | $797.81 | |
Aetna
| Professional | $176.74 | $376.69 | $376.69 | |
BCBS
| Facility | $404.53 | $484.06 | $611.99 | |
Hally Health
| Professional | $100.00 | $150.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |