| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,496.00 | $5,091.00 | $7,119.04 | |
Hally Health
| Professional | $261.10 | $3,997.22 | $5,277.38 | |
Medica
| Facility | $391.19 | $6,312.24 | $10,799.94 | |
Midlands
| Facility | $564.10 | $6,807.23 | $10,655.24 | |
United
| Facility | $1,770.00 | $9,082.00 | $13,476.00 |