| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37,153.30 | $44,960.40 | $55,372.40 | |
Hally Health
| Facility | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $35,479.78 | $45,868.63 | $71,875.55 | |
United
| Facility | $43,491.72 | $57,961.91 | $76,494.10 |