| 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 | $1,266.26 | $2,136.48 | $3,977.65 | |
Medica
| Facility | $2,380.42 | $3,330.58 | $7,305.00 | |
Midlands
| Facility | $2,092.07 | $3,099.97 | $3,944.04 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |