| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,277.00 | $5,549.00 | $11,100.08 | |
Hally Health
| Professional | $2,374.06 | $3,992.12 | $7,117.52 | |
Medica
| Facility | $3,790.46 | $5,991.19 | $7,488.98 | |
Midlands
| Facility | $3,918.96 | $5,807.87 | $7,505.63 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |