| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $5,370.32 | $7,943.28 | |
Hally Health
| Professional | $707.95 | $1,096.48 | $2,290.87 | |
Medica
| Facility | $1,258.93 | $1,995.26 | $7,413.10 | |
Midlands
| Professional | $1,258.93 | $1,778.28 | $2,691.53 | |
United
| Facility | $2,137.96 | $5,248.07 | $7,413.10 |