| 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 | $90.93 | $238.67 | $632.79 | |
Medica
| Facility | $139.88 | $329.38 | $1,204.00 | |
Midlands
| Facility | $171.35 | $227.27 | $425.00 | |
United
| Facility | $260.89 | $597.22 | $1,966.00 |