| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $4,235.59 | $7,119.04 | |
Hally Health
| Professional | $44.47 | $98.37 | $208.40 | |
Medica
| Facility | $97.38 | $136.66 | $1,371.00 | |
Midlands
| Facility | $103.34 | $134.44 | $187.11 | |
United
| Facility | $1,204.00 | $1,607.00 | $2,126.00 |