| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,146.00 | $4,964.00 | $7,120.36 | |
Hally Health
| Professional | $580.67 | $892.29 | $2,423.13 | |
Medica
| Facility | $960.21 | $1,571.08 | $7,123.00 | |
Midlands
| Facility | $1,189.00 | $1,583.01 | $2,961.89 | |
United
| Facility | $4,217.00 | $5,327.00 | $8,342.00 |