| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,576.15 | $7,119.04 | |
Hally Health
| Professional | $130.52 | $248.09 | $741.59 | |
Medica
| Facility | $311.94 | $423.88 | $1,607.00 | |
Midlands
| Facility | $305.69 | $365.24 | $502.00 | |
United
| Facility | $1,204.00 | $1,607.00 | $2,126.00 |