| 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 | $46.52 | $874.66 | $1,178.81 | |
Medica
| Facility | $91.04 | $1,015.43 | $2,102.88 | |
Midlands
| Facility | $113.20 | $916.95 | $1,869.34 | |
United
| Facility | $1,770.00 | $4,663.00 | $7,305.00 |