| 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 | $140.06 | $318.70 | $796.83 | |
Medica
| Facility | $202.51 | $424.61 | $1,341.00 | |
Midlands
| Facility | $171.35 | $330.86 | $641.12 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |