| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $9.77 | $26.92 | $114.82 | |
Hally Health
| Professional | $12.02 | $125.89 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $6.92 | $6.92 | $6.92 | |
United
| Professional | $10.96 | $10.96 | $11.22 |