| 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 | $69.44 | $100.71 | $275.19 | |
Medica
| Facility | $96.43 | $186.42 | $1,640.00 | |
Midlands
| Facility | $117.68 | $161.57 | $230.25 | |
United
| Facility | $1,204.00 | $1,607.00 | $2,126.00 |