| 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 | $200.00 | $790.00 | |
United
| Facility | $944.00 | $944.00 | $944.00 |