| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99,114.80 | $119,942.00 | $147,719.00 | |
Hally Health
| Facility | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $94,650.39 | $122,365.01 | $191,744.37 | |
United
| Facility | $116,024.06 | $154,626.57 | $204,065.42 |