| 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 | $133.38 | $228.88 | $454.97 | |
Medica
| Facility | $170.60 | $305.83 | $1,607.00 | |
Midlands
| Facility | $276.00 | $329.65 | $453.65 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |