| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $4,786.30 | $7,079.46 | |
Hally Health
| Professional | $741.31 | $1,174.90 | $2,511.89 | |
Medica
| Facility | $954.99 | $2,089.30 | $7,244.36 | |
Medica
| Facility | AS | $354.81 | $354.81 | $354.81 |
Midlands
| Professional | $1,445.44 | $1,862.09 | $3,019.95 | |
United
| Facility | $2,137.96 | $5,248.07 | $7,413.10 |