| 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 | $189.67 | $940.80 | $1,566.38 | |
Medica
| Facility | $386.29 | $1,144.95 | $2,999.21 | |
Midlands
| Facility | $495.81 | $1,274.90 | $1,936.15 | |
United
| Facility | $1,770.00 | $4,663.00 | $7,305.00 |