| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,146.00 | $5,091.00 | $7,120.36 | |
Hally Health
| Professional | $724.29 | $1,118.88 | $2,653.53 | |
Medica
| Facility | $1,199.41 | $1,873.56 | $4,873.45 | |
Midlands
| Facility | $1,285.00 | $1,698.68 | $2,020.28 | |
United
| Facility | $4,217.00 | $5,327.00 | $8,342.00 |