| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124,490.00 | $150,650.00 | $185,538.00 | |
Hally Health
| Facility | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $118,882.84 | $153,692.97 | $240,834.87 | |
United
| Facility | $145,728.60 | $194,214.15 | $256,310.36 |