| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,105.00 | $3,221.00 | $7,723.00 | |
BCBS
| Facility | $3,569.37 | $8,059.87 | $29,446.70 | |
Hally Health
| Professional | $1,228.09 | $1,737.57 | $3,413.59 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,537.00 | $6,885.00 | $14,716.00 |