| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,496.00 | $5,091.00 | $7,119.04 | |
Hally Health
| Professional | $239.61 | $354.07 | $907.58 | |
Medica
| Facility | $335.56 | $619.67 | $4,871.77 | |
Medica
| Facility | 52 | $3,716.72 | $3,716.72 | $3,716.72 |
Midlands
| Facility | $481.88 | $800.91 | $1,622.05 | |
United
| Facility | $1,770.00 | $4,663.00 | $7,305.00 |