| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,468.00 | $4,917.20 | $8,042.03 | |
Hally Health
| Professional | $106.52 | $247.76 | $588.04 | |
Medica
| Facility | $163.59 | $293.76 | $1,607.00 | |
Midlands
| Facility | $240.91 | $345.19 | $589.22 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |