| 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 | $62.17 | $125.05 | $309.94 | |
Medica
| Facility | $115.67 | $201.35 | $2,033.70 | |
Midlands
| Facility | $122.00 | $185.90 | $271.61 | |
United
| Facility | $1,775.00 | $3,522.00 | $5,454.00 |