| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,496.00 | $4,964.00 | $7,119.04 | |
Hally Health
| Professional | $1,073.01 | $1,628.39 | $3,364.87 | |
Medica
| Facility | $1,267.74 | $2,843.83 | $28,675.35 | |
Midlands
| Facility | $2,142.67 | $3,034.70 | $25,996.02 | |
United
| Facility | $5,341.00 | $6,588.00 | $10,320.00 |