| 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 | $470.46 | $4,187.67 | $5,909.03 | |
Medica
| Facility | $707.77 | $5,863.68 | $11,811.01 | |
Midlands
| Facility | $1,019.38 | $6,632.67 | $11,811.01 | |
United
| Facility | $1,770.00 | $9,082.00 | $13,476.00 |