| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.00 | $425.00 | $552.00 | |
BCBS
| Facility | $1,588.00 | $2,138.00 | $3,382.00 | |
Hally Health
| Facility | $100.00 | $236.80 | $658.00 | |
United
| Facility | $800.00 | $800.00 | $800.00 |