| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $813.00 | $3,035.00 | $7,123.00 | |
BCBS
| Facility | $1,904.63 | $4,243.25 | $15,458.39 | |
Hally Health
| Professional | $655.05 | $917.29 | $1,781.44 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,537.00 | $6,885.00 | $14,716.00 |