| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,234.00 | $3,795.64 | $7,119.04 | |
Hally Health
| Professional | $171.47 | $615.37 | $823.32 | |
Medica
| Facility | $348.63 | $693.46 | $2,423.23 | |
Midlands
| Facility | $437.72 | $656.00 | $1,305.16 | |
United
| Facility | $1,770.00 | $4,663.00 | $7,305.00 |