| 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 | $277.08 | $490.40 | $1,243.93 | |
Medica
| Facility | $506.72 | $796.11 | $3,543.76 | |
Midlands
| Facility | $557.72 | $877.64 | $1,193.67 | |
United
| Facility | $1,770.00 | $4,663.00 | $7,305.00 |