| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $4,778.89 | $7,119.04 | |
Cigna
| Facility | $953.00 | $953.00 | $953.00 | |
Hally Health
| Professional | $223.81 | $412.16 | $1,253.66 | |
Medica
| Facility | $356.79 | $600.54 | $4,871.77 | |
Midlands
| Facility | $430.00 | $646.14 | $1,622.05 | |
United
| Facility | $1,770.00 | $4,663.00 | $7,305.00 |