| 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 | $123.15 | $306.41 | $751.39 | |
Medica
| Facility | $189.95 | $419.82 | $1,341.00 | |
Midlands
| Facility | $293.99 | $397.32 | $593.29 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |