| 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 | $117.05 | $169.43 | $494.59 | |
Medica
| Facility | $171.47 | $262.16 | $1,640.00 | |
Midlands
| Facility | $219.47 | $262.16 | $364.98 | |
United
| Facility | $1,204.00 | $1,640.00 | $2,126.00 |