| 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 | $134.22 | $192.92 | $536.32 | |
Medica
| Facility | $154.79 | $303.18 | $7,123.00 | |
Medica
| Facility | AS | $57.68 | $57.68 | $57.68 |
Midlands
| Facility | $203.91 | $294.22 | $400.46 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |