| 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 | $218.05 | $1,114.01 | $2,423.92 | |
Medica
| Facility | $327.19 | $1,501.17 | $6,055.31 | |
Midlands
| Facility | $471.36 | $2,034.74 | $3,162.53 | |
United
| Facility | $1,770.00 | $6,588.00 | $10,320.00 |