| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,389.44 | $3,489.13 | $6,446.00 | |
Hally Health
| Professional | $231.04 | $438.21 | $749.00 | |
Medica
| Facility | $489.82 | $720.59 | $9,495.24 | |
Midlands
| Facility | $455.00 | $779.00 | $3,054.91 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |