| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.41 | $36.39 | $65.02 | |
Aetna
| Professional | $19.41 | $19.41 | $24.17 | |
BCBS
| Facility | $56.86 | $174.79 | $404.62 | |
Hally Health
| Professional | $41.20 | $56.30 | $125.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $19.64 | $19.64 | $20.23 |