| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44,575.50 | $53,942.20 | $66,434.30 | |
Hally Health
| Facility | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $42,567.66 | $55,031.92 | $86,234.29 | |
United
| Facility | $52,180.16 | $69,541.09 | $91,775.50 |