| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,496.00 | $4,964.00 | $7,696.33 | |
Hally Health
| Professional | $372.62 | $704.90 | $1,245.32 | |
Medica
| Facility | $647.46 | $1,094.21 | $5,567.24 | |
Midlands
| Facility | $896.65 | $1,247.23 | $2,932.27 | |
United
| Facility | $4,217.00 | $5,327.00 | $8,342.00 |