| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,496.00 | $4,998.00 | $7,119.04 | |
Hally Health
| Professional | $616.73 | $944.33 | $2,309.96 | |
Medica
| Facility | $752.12 | $1,628.12 | $7,896.02 | |
Medica
| Facility | AS | $849.00 | $849.00 | $849.00 |
Midlands
| Facility | $1,171.41 | $1,757.40 | $2,961.89 | |
United
| Facility | $4,180.89 | $6,840.79 | $9,751.77 |