| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,018.00 | $3,221.00 | $6,614.00 | |
Aetna
| Professional | $3,811.00 | $18,028.12 | $18,028.12 | |
BCBS
| Facility | $17,897.29 | $25,644.26 | $33,131.62 | |
Hally Health
| Professional | $100.00 | $200.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,276.00 | $8,141.00 | $21,651.00 |