| 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 | $315.39 | $489.58 | $1,169.19 | |
Medica
| Facility | $541.30 | $847.20 | $6,267.00 | |
Midlands
| Facility | $636.44 | $884.44 | $2,961.89 | |
United
| Facility | $2,679.00 | $4,878.97 | $6,489.22 |