| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $389.05 | $389.05 | |
BCBS
| Facility | $1,862.09 | $2,137.96 | $4,073.80 | |
Hally Health
| Facility | $100.00 | $199.53 | $346.74 | |
United
| Facility | $109.65 | $112.20 | $114.82 |