| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,833.00 | $3,666.78 | $7,119.04 | |
Hally Health
| Professional | $112.66 | $284.73 | $709.77 | |
Medica
| Facility | $172.81 | $403.34 | $1,341.00 | |
Midlands
| Facility | $266.67 | $375.18 | $553.66 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |