| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $678.71 | $3,089.00 | $8,049.23 | |
Hally Health
| Professional | $303.37 | $1,609.67 | $2,209.89 | |
Medica
| Facility | $477.81 | $2,415.46 | $8,342.00 | |
Medica
| Facility | 52 | $869.54 | $869.54 | $869.54 |
Midlands
| Facility | $580.14 | $2,584.92 | $3,220.62 | |
United
| Facility | $4,217.00 | $5,732.00 | $8,342.00 |