| 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 | $82.79 | $146.85 | $499.61 | |
Medica
| Facility | $129.01 | $211.09 | $1,607.00 | |
Midlands
| Facility | $195.05 | $254.72 | $364.98 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |