| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,977.00 | $4,357.06 | $7,119.04 | |
Cigna
| Facility | $953.00 | $953.00 | $953.00 | |
Hally Health
| Professional | $239.31 | $423.67 | $1,392.64 | |
Medica
| Facility | $438.19 | $692.98 | $4,901.45 | |
Midlands
| Facility | $482.49 | $779.30 | $1,622.05 | |
United
| Facility | $1,770.00 | $4,663.00 | $7,305.00 |