| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $4,778.89 | $7,119.04 | |
Hally Health
| Professional | $533.96 | $801.39 | $2,362.34 | |
Medica
| Facility | $688.29 | $1,263.30 | $8,571.40 | |
Midlands
| Facility | $1,013.07 | $1,644.33 | $5,383.60 | |
United
| Facility | $1,770.00 | $5,327.00 | $8,342.00 |