| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,496.00 | $6,298.62 | $12,885.00 | |
Hally Health
| Professional | $234.81 | $363.75 | $930.56 | |
Medica
| Facility | $301.89 | $582.28 | $7,123.00 | |
Midlands
| Facility | $412.37 | $555.51 | $752.95 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |