| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,230.40 | $11,170.00 | $13,756.80 | |
Hally Health
| Facility | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $8,814.64 | $11,395.65 | $17,856.84 | |
United
| Facility | $10,805.13 | $14,400.12 | $19,004.28 |