| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,576.15 | $7,119.04 | |
Hally Health
| Professional | $138.26 | $197.78 | $544.00 | |
Medica
| Facility | $158.76 | $312.91 | $1,914.00 | |
Midlands
| Facility | $209.32 | $305.77 | $406.70 | |
United
| Facility | $1,204.00 | $1,607.00 | $2,126.00 |