| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,977.00 | $4,514.78 | $7,119.04 | |
Hally Health
| Professional | $293.39 | $1,457.47 | $2,965.98 | |
Medica
| Facility | $441.21 | $1,971.54 | $6,055.31 | |
Midlands
| Facility | $634.51 | $2,527.76 | $3,405.80 | |
United
| Facility | $1,770.00 | $6,588.00 | $10,320.00 |