| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,795.64 | $7,119.04 | |
Hally Health
| Professional | $107.63 | $611.54 | $925.65 | |
Medica
| Facility | $161.19 | $676.92 | $2,398.28 | |
Midlands
| Facility | $228.60 | $810.46 | $1,182.97 | |
United
| Facility | $1,770.00 | $4,663.00 | $7,305.00 |