| 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 | $941.98 | $1,448.21 | $3,559.45 | |
Medica
| Facility | $1,366.37 | $2,261.27 | $7,379.00 | |
Medica
| Facility | AS | $470.35 | $470.35 | $470.35 |
Midlands
| Facility | $1,847.00 | $2,261.27 | $2,994.52 | |
United
| Facility | $7,221.00 | $8,060.00 | $11,869.99 |