| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,576.15 | $7,119.04 | |
Hally Health
| Professional | $276.41 | $439.83 | $1,002.24 | |
Medica
| Facility | $355.78 | $683.54 | $7,123.00 | |
Midlands
| Facility | $532.69 | $668.12 | $898.93 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |