| 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 | $225.38 | $398.51 | $824.22 | |
Medica
| Facility | $391.68 | $659.22 | $14,595.02 | |
Midlands
| Facility | $443.00 | $752.95 | $4,487.09 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |