| 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 | $180.09 | $260.62 | $711.61 | |
Medica
| Facility | $282.58 | $567.37 | $9,495.24 | |
Midlands
| Facility | $365.16 | $612.20 | $3,054.91 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |