| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $251.19 | $870.96 | |
Ambetter
| Facility | $169.82 | $239.88 | $269.15 | |
BCBS
| Facility | $1,862.09 | $2,137.96 | $4,073.80 | |
Hally Health
| Facility | $100.00 | $151.36 | $346.74 | |
United
| Facility | $281.84 | $331.13 | $446.68 |