| 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 | $230.72 | $1,525.37 | $2,197.79 | |
Medica
| Facility | $402.52 | $1,775.00 | $3,353.16 | |
Midlands
| Facility | $533.23 | $2,195.57 | $3,754.71 | |
United
| Facility | $1,026.00 | $1,623.00 | $2,126.00 |