| 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 | $162.08 | $590.89 | $824.19 | |
Medica
| Facility | $429.44 | $1,185.97 | $4,112.35 | |
Midlands
| Facility | $424.32 | $1,162.29 | $1,625.77 | |
United
| Facility | $3,044.00 | $5,023.00 | $7,305.00 |