| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.95 | $271.95 | $271.95 | |
Ambetter
| Facility | $150.09 | $271.69 | $408.19 | |
BCBS
| Facility | $1,860.00 | $2,146.00 | $3,929.00 | |
Hally Health
| Facility | $100.00 | $120.00 | $345.40 |