| 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 | $209.79 | $354.60 | $441.01 | |
Medica
| Facility | $439.47 | $602.90 | $6,608.00 | |
Medica
| Facility | AS | $101.88 | $101.88 | $101.88 |
Midlands
| Facility | $344.30 | $514.83 | $667.59 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |