| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.31 | $107.50 | $155.47 | |
BCBS
| Facility | $209.30 | $510.46 | $1,770.99 | |
Hally Health
| Professional | $95.29 | $137.29 | $279.29 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |