| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,265.80 | $5,370.32 | $7,943.28 | |
Aetna
| Professional | $5,370.32 | $16,595.87 | $16,595.87 | |
Hally Health
| Professional | $151.36 | $15,488.17 | $15,488.17 | |
Medica
| Facility | $8,709.64 | $16,218.10 | $38,904.51 | |
United
| Facility | $8,511.38 | $13,489.63 | $34,673.69 |