| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,693.00 | $5,549.00 | $7,943.37 | |
Hally Health
| Professional | $485.72 | $744.72 | $2,244.38 | |
Medica
| Facility | $671.93 | $1,296.00 | $11,139.12 | |
Midlands
| Facility | $971.56 | $1,384.54 | $6,616.19 | |
United
| Facility | $4,217.00 | $5,327.00 | $8,342.00 |