| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $3,235.94 | $9,772.37 | |
BCBS
| Facility | $239.88 | $416.87 | $1,479.11 | |
Hally Health
| Professional | $79.43 | $128.82 | $724.44 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |