| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $4,778.89 | $7,119.04 | |
Hally Health
| Professional | $410.85 | $1,614.00 | $3,695.66 | |
Medica
| Facility | $617.52 | $2,164.51 | $6,350.97 | |
Midlands
| Facility | $887.40 | $2,683.40 | $3,538.28 | |
United
| Facility | $4,484.10 | $7,091.00 | $10,606.69 |