| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,603.25 | $5,091.00 | $12,765.09 | |
Hally Health
| Professional | $536.65 | $818.28 | $2,023.68 | |
Medica
| Facility | $910.97 | $1,652.40 | $82,339.17 | |
Midlands
| Facility | $1,114.70 | $1,739.44 | $50,896.80 | |
United
| Facility | $16,237.00 | $25,438.00 | $65,894.00 |