| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,277.00 | $5,549.00 | $11,100.08 | |
Hally Health
| Professional | $251.39 | $401.45 | $774.89 | |
Medica
| Facility | $342.72 | $664.76 | $8,545.00 | |
Midlands
| Facility | $409.94 | $614.83 | $843.65 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |