| 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 | $58.28 | $543.62 | $1,719.94 | |
Medica
| Facility | $136.10 | $1,018.19 | $1,781.84 | |
Midlands
| Facility | $153.44 | $1,018.19 | $1,583.86 | |
United
| Facility | $1,204.00 | $1,607.00 | $2,126.00 |