| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.22 | $2,989.00 | $7,407.00 | |
BCBS
| Facility | $32.20 | $88.30 | $317.10 | |
Hally Health
| Professional | $12.12 | $19.39 | $81.50 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |