| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,012.00 | $6,405.00 | $10,255.42 | |
Hally Health
| Professional | $1,138.08 | $1,733.88 | $4,424.47 | |
Medica
| Facility | $1,405.24 | $2,582.96 | $15,086.34 | |
Midlands
| Facility | $2,155.67 | $3,609.25 | $8,854.25 | |
United
| Facility | $4,723.00 | $9,673.00 | $14,242.22 |