| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $3,235.94 | $6,760.83 | |
Hally Health
| Professional | $181.97 | $316.23 | $831.76 | |
Medica
| Facility | $288.40 | $3,715.35 | $10,000.00 | |
Midlands
| Professional | $416.87 | $467.74 | $812.83 | |
United
| Facility | $4,897.79 | $8,128.31 | $10,964.78 |