| 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 | $69.94 | $291.72 | $504.83 | |
Medica
| Facility | $175.32 | $537.00 | $2,033.70 | |
Midlands
| Facility | $179.04 | $509.00 | $721.01 | |
United
| Facility | $1,775.00 | $3,522.00 | $5,454.00 |