| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,014.00 | $7,119.04 | $12,885.00 | |
Hally Health
| Professional | $317.99 | $491.55 | $1,233.92 | |
Medica
| Facility | $475.68 | $17,582.00 | $73,008.41 | |
Midlands
| Facility | $587.55 | $1,214.22 | $50,616.69 | |
United
| Facility | $16,167.00 | $18,245.00 | $28,931.00 |