| 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 | $209.56 | $316.13 | $785.27 | |
Medica
| Facility | $289.27 | $542.88 | $4,871.77 | |
Midlands
| Facility | $415.48 | $696.59 | $1,622.05 | |
United
| Facility | $2,559.00 | $4,663.00 | $7,305.00 |