| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,468.00 | $4,917.20 | $8,042.03 | |
Hally Health
| Professional | $172.80 | $1,630.92 | $3,259.24 | |
Medica
| Facility | $459.31 | $3,572.36 | $10,794.11 | |
Midlands
| Facility | $450.14 | $3,796.77 | $4,832.25 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |