| 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 | $127.05 | $280.79 | $777.88 | |
Medica
| Facility | $197.91 | $371.33 | $1,607.00 | |
Midlands
| Facility | $286.02 | $447.59 | $661.14 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |