| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.35 | $217.35 | $217.35 | |
Ambetter
| Facility | $50.20 | $768.74 | $8,136.72 | |
BCBS
| Facility | $1,860.00 | $2,146.00 | $3,929.00 | |
Hally Health
| Facility | $100.00 | $200.00 | $54,213.00 |