| 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 | $193.05 | $1,437.68 | $1,952.16 | |
Medica
| Facility | $449.06 | $2,116.80 | $10,188.00 | |
Midlands
| Facility | $480.78 | $2,784.24 | $4,321.97 | |
United
| Facility | $8,220.00 | $9,346.00 | $14,242.22 |