| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,277.00 | $5,549.00 | $11,100.08 | |
Hally Health
| Professional | $999.08 | $1,549.31 | $3,550.72 | |
Medica
| Facility | $1,240.58 | $2,389.42 | $7,305.00 | |
Medica
| Facility | AS | $468.83 | $468.83 | $468.83 |
Midlands
| Facility | $1,635.71 | $2,363.28 | $3,208.79 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |