| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269,394.00 | $326,002.00 | $401,498.00 | |
Hally Health
| Facility | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $257,259.40 | $332,587.65 | $521,160.47 | |
United
| Facility | $315,352.95 | $420,274.43 | $554,649.03 |