| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $729.65 | $4,612.00 | $7,797.38 | |
Hally Health
| Professional | $241.71 | $460.83 | $792.33 | |
Medica
| Facility | $496.92 | $744.06 | $8,972.49 | |
Midlands
| Facility | $475.00 | $789.69 | $3,054.91 | |
United
| Facility | $4,217.00 | $5,732.00 | $8,342.00 |