| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,462.10 | $3,822.84 | $7,119.04 | |
Hally Health
| Professional | $421.27 | $622.04 | $1,587.23 | |
Medica
| Facility | $597.16 | $1,097.06 | $8,625.21 | |
Midlands
| Facility | $847.13 | $1,410.96 | $6,472.01 | |
United
| Facility | $1,770.00 | $5,327.00 | $8,342.00 |