| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,277.00 | $5,549.00 | $11,100.08 | |
Hally Health
| Professional | $245.72 | $427.04 | $741.77 | |
Medica
| Facility | $468.01 | $632.64 | $5,847.00 | |
Medica
| Facility | AS | $120.05 | $120.05 | $120.05 |
Midlands
| Facility | $398.34 | $599.26 | $781.81 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |