| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $4,235.59 | $7,119.04 | |
Hally Health
| Professional | $218.34 | $964.11 | $1,346.32 | |
Medica
| Facility | $400.18 | $1,416.74 | $7,405.00 | |
Midlands
| Facility | $451.96 | $1,481.39 | $2,353.30 | |
United
| Facility | $5,341.00 | $6,588.00 | $10,320.00 |