| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,146.00 | $4,964.00 | $9,185.68 | |
Hally Health
| Professional | $751.34 | $1,178.76 | $2,416.64 | |
Medica
| Facility | $958.62 | $1,860.88 | $7,305.00 | |
Medica
| Facility | AS | $353.33 | $353.33 | $353.33 |
Midlands
| Facility | $1,433.64 | $1,801.75 | $2,429.79 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |