| 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 | $63.47 | $91.79 | $237.66 | |
Medica
| Facility | $90.82 | $189.12 | $5,244.00 | |
Midlands
| Facility | $124.14 | $209.67 | $1,476.40 | |
United
| Facility | $3,044.00 | $5,023.00 | $7,305.00 |