| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $974.00 | $3,035.00 | $7,123.00 | |
BCBS
| Facility | $2,790.56 | $7,967.09 | $22,712.15 | |
Hally Health
| Professional | $959.52 | $1,343.33 | $7,098.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,600.00 | $4,469.00 | $8,566.00 |