| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,172.55 | $4,917.20 | $7,119.04 | |
Hally Health
| Professional | $515.85 | $888.59 | $2,280.33 | |
Medica
| Facility | $855.78 | $1,422.63 | $7,896.02 | |
Medica
| Facility | AS | $849.00 | $849.00 | $849.00 |
Midlands
| Facility | $1,077.00 | $1,339.46 | $2,961.89 | |
Oscar Health
| Facility | $1,618.06 | $1,618.06 | $1,618.06 | |
United
| Facility | $5,341.00 | $6,588.00 | $10,320.00 |