| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $0.78 | $1.35 | $26.92 | |
Hally Health
| Professional | $0.45 | $100.00 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $5.13 | $5.13 | $5.13 | |
United
| Professional | $5.13 | $5.13 | $5.37 |