| 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 | $493.79 | $755.43 | $1,806.83 | |
Medica
| Facility | $610.35 | $1,294.89 | $7,896.02 | |
Midlands
| Facility | $949.84 | $1,401.96 | $2,961.89 | |
United
| Facility | $5,341.00 | $6,588.00 | $10,320.00 |