| 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 | $54.29 | $406.42 | $508.47 | |
Medica
| Facility | $143.28 | $679.77 | $4,146.27 | |
Midlands
| Facility | $142.34 | $783.36 | $1,207.40 | |
United
| Facility | $1,775.00 | $3,522.00 | $5,454.00 |