| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.50 | $40.74 | $50.12 | |
Aetna
| Professional | $19.05 | $19.50 | $25.70 | |
BCBS
| Facility | $58.88 | $173.78 | $407.38 | |
Hally Health
| Professional | $41.69 | $56.23 | $199.53 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $13.80 | $22.91 | $22.91 | |
United
| Professional | $19.50 | $19.50 | $20.42 |