| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,576.15 | $7,119.04 | |
Hally Health
| Professional | $310.83 | $466.24 | $1,103.55 | |
Medica
| Facility | $304.80 | $559.23 | $1,371.00 | |
Midlands
| Facility | $201.84 | $559.23 | $847.90 | |
United
| Facility | $1,204.00 | $1,640.00 | $2,126.00 |