| 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 | $188.01 | $272.51 | $742.19 | |
Medica
| Facility | $271.63 | $623.95 | $16,846.38 | |
Midlands
| Facility | $379.27 | $640.80 | $6,086.54 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |