| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,146.00 | $4,964.00 | $9,185.68 | |
Hally Health
| Professional | $331.92 | $584.29 | $1,509.37 | |
Medica
| Facility | $555.99 | $963.19 | $8,972.49 | |
Midlands
| Facility | $629.00 | $1,087.18 | $3,054.91 | |
United
| Facility | $3,711.00 | $5,988.00 | $8,342.00 |