| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,468.00 | $4,917.20 | $8,042.03 | |
Hally Health
| Professional | $282.39 | $506.07 | $888.27 | |
Medica
| Facility | $567.25 | $806.89 | $13,486.75 | |
Midlands
| Facility | $461.21 | $689.02 | $897.65 | |
United
| Facility | $7,221.00 | $8,523.00 | $11,869.99 |