| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $2,570.40 | $6,760.83 | |
Hally Health
| Professional | $549.54 | $776.25 | $2,041.74 | |
Medica
| Facility | $691.83 | $1,258.93 | $1,905.46 | |
Midlands
| Professional | $1,071.52 | $1,288.25 | $1,584.89 | |
United
| Facility | $1,148.15 | $1,621.81 | $3,548.13 |