| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $4,235.59 | $7,119.04 | |
Hally Health
| Professional | $393.37 | $607.37 | $1,543.68 | |
Medica
| Facility | $502.32 | $1,038.09 | $7,123.00 | |
Midlands
| Facility | $692.00 | $1,076.66 | $1,249.31 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |