| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,168.69 | $4,786.30 | $7,079.46 | |
Aetna
| Professional | $4,786.30 | $18,197.01 | $18,197.01 | |
Hally Health
| Professional | $151.36 | $16,982.44 | $16,982.44 | |
Medica
| Facility | $10,471.29 | $22,908.68 | $53,703.18 | |
United
| Facility | $9,549.93 | $16,218.10 | $47,863.01 |