| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,234.00 | $3,795.64 | $7,119.04 | |
Cigna
| Facility | $646.00 | $646.00 | $646.00 | |
Hally Health
| Professional | $104.84 | $197.96 | $550.38 | |
Medica
| Facility | $183.83 | $300.67 | $2,776.25 | |
Midlands
| Facility | $209.67 | $332.34 | $924.50 | |
United
| Facility | $1,770.00 | $4,663.00 | $7,305.00 |