| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45,194.60 | $54,691.40 | $67,357.00 | |
Hally Health
| Facility | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $43,158.85 | $55,796.22 | $87,431.94 | |
United
| Facility | $52,904.85 | $70,506.89 | $93,050.11 |