| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.51 | $2,989.00 | $5,549.00 | |
BCBS
| Facility | $238.40 | $421.67 | $1,525.93 | |
Hally Health
| Professional | $78.73 | $113.71 | $566.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $891.00 | $3,685.00 |