| 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 | $296.33 | $489.83 | $926.84 | |
Medica
| Facility | $480.41 | $746.94 | $1,607.00 | |
Medica
| Facility | AS | $145.93 | $145.93 | $145.93 |
Midlands
| Facility | $548.19 | $701.60 | $907.82 | |
United
| Facility | $1,204.00 | $1,640.00 | $2,126.00 |