| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,576.15 | $7,119.04 | |
Hally Health
| Professional | $45.37 | $326.23 | $574.49 | |
Medica
| Facility | $55.00 | $493.94 | $1,640.00 | |
Midlands
| Facility | $101.68 | $621.54 | $966.84 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |