| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557,317.93 | $975,306.00 | $1,619,570.00 | |
Aetna
| Professional | $557,317.93 | $557,317.93 | $579,610.65 | |
Hally Health
| Professional | $200.00 | $557,317.93 | $835,976.90 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $724,513.31 | $724,513.31 | $724,513.31 |