| 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 | $1,945.13 | $3,221.07 | $7,326.00 | |
Medica
| Facility | $2,697.85 | $4,226.83 | $6,079.61 | |
Midlands
| Facility | $3,285.05 | $4,599.68 | $6,535.44 | |
United
| Facility | $1,321.00 | $5,847.00 | $7,856.00 |