| 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 | $59.58 | $250.85 | $541.74 | |
Medica
| Facility | $155.05 | $499.82 | $4,146.27 | |
Midlands
| Facility | $156.35 | $509.22 | $1,207.40 | |
United
| Facility | $1,611.00 | $3,902.18 | $5,454.00 |