| 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 | $1,012.31 | $1,710.90 | $3,216.75 | |
Medica
| Facility | $1,669.13 | $2,603.98 | $7,305.00 | |
Midlands
| Facility | $1,686.84 | $2,366.80 | $3,229.86 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |