| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.85 | $96.03 | $96.03 | |
BCBS
| Facility | $629.51 | $1,372.24 | $2,747.91 | |
Hally Health
| Professional | $93.15 | $141.63 | $308.73 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |