| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,964.00 | $8,851.00 | $11,923.23 | |
Hally Health
| Professional | $341.51 | $1,132.21 | $8,768.15 | |
Medica
| Facility | $806.17 | $9,782.91 | $16,293.00 | |
Midlands
| Facility | $893.56 | $8,718.99 | $16,460.08 | |
United
| Facility | $9,542.00 | $12,871.00 | $16,293.00 |