| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,559.52 | $5,463.36 | $7,119.04 | |
Hally Health
| Professional | $299.50 | $534.90 | $1,626.14 | |
Medica
| Facility | $525.00 | $844.35 | $7,915.44 | |
Midlands
| Facility | $517.05 | $812.75 | $1,016.76 | |
United
| Facility | $1,770.00 | $6,588.00 | $10,320.00 |