| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68,584.89 | $82,996.80 | $102,217.00 | |
Hally Health
| Facility | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $65,495.63 | $84,673.43 | $132,682.16 | |
United
| Facility | $80,285.64 | $106,997.60 | $141,208.00 |