| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,964.00 | $6,098.00 | $11,100.08 | |
Hally Health
| Professional | $1,291.43 | $2,037.08 | $3,943.68 | |
Medica
| Facility | $1,650.68 | $3,113.57 | $7,305.00 | |
Medica
| Facility | AS | $608.10 | $608.10 | $608.10 |
Midlands
| Facility | $2,471.54 | $3,099.63 | $4,199.47 | |
United
| Facility | $2,126.00 | $5,854.53 | $7,305.00 |