| 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 | $2,173.19 | $3,379.08 | $7,563.52 | |
Medica
| Facility | $2,771.43 | $4,901.72 | $7,305.00 | |
Midlands
| Facility | $3,400.49 | $5,111.18 | $6,675.04 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |