| 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 | $249.16 | $501.67 | $900.09 | |
Medica
| Facility | $410.42 | $706.37 | $1,623.00 | |
Midlands
| Facility | $528.54 | $668.53 | $1,067.61 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |