| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,468.00 | $4,917.20 | $8,248.79 | |
Hally Health
| Professional | $211.63 | $322.33 | $771.84 | |
Medica
| Facility | $347.20 | $702.66 | $7,984.00 | |
Midlands
| Facility | $363.92 | $540.53 | $691.95 | |
United
| Facility | $1,611.00 | $3,915.00 | $5,454.00 |