| 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 | $804.05 | $1,278.93 | $2,592.62 | |
Medica
| Facility | $1,182.91 | $1,941.79 | $8,604.00 | |
Midlands
| Facility | $1,556.00 | $1,938.13 | $2,539.75 | |
United
| Facility | $8,220.00 | $9,259.00 | $14,242.22 |