| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,146.00 | $5,091.00 | $9,906.40 | |
Hally Health
| Professional | $644.87 | $1,223.67 | $2,363.36 | |
Medica
| Facility | $1,523.27 | $2,417.17 | $20,740.72 | |
Midlands
| Facility | $1,353.28 | $2,369.54 | $8,958.90 | |
United
| Facility | $7,221.00 | $8,523.00 | $11,869.99 |