| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,964.00 | $6,955.00 | $11,668.15 | |
Hally Health
| Professional | $1,096.48 | $1,723.35 | $3,330.56 | |
Medica
| Facility | $1,374.14 | $2,643.92 | $7,305.00 | |
Midlands
| Facility | $2,063.34 | $2,591.85 | $3,535.20 | |
United
| Facility | $2,126.00 | $5,854.53 | $7,305.00 |