| 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 | $1,717.45 | $2,924.57 | $5,083.52 | |
Medica
| Facility | $2,950.00 | $4,387.91 | $7,305.00 | |
Midlands
| Facility | $2,837.07 | $4,174.28 | $5,404.59 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |