| 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 | $487.14 | $5,147.72 | $6,417.95 | |
Medica
| Facility | $732.37 | $7,015.92 | $11,962.87 | |
Midlands
| Facility | $1,052.43 | $6,853.21 | $11,962.87 | |
United
| Facility | $1,770.00 | $9,082.00 | $13,476.00 |