| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $4,235.59 | $7,119.04 | |
Hally Health
| Professional | $275.24 | $611.13 | $945.33 | |
Medica
| Facility | $439.07 | $829.18 | $2,969.00 | |
Midlands
| Facility | $602.20 | $766.44 | $1,258.64 | |
United
| Facility | $1,775.00 | $3,522.00 | $5,454.00 |