| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,393.00 | $5,549.00 | $11,100.08 | |
Hally Health
| Professional | $1,039.83 | $1,971.80 | $3,468.78 | |
Medica
| Facility | $1,787.31 | $3,337.08 | $20,740.72 | |
Medica
| Facility | AS | $2,569.69 | $2,569.69 | $2,569.69 |
Midlands
| Facility | $2,080.04 | $3,806.22 | $8,958.90 | |
United
| Facility | $7,221.00 | $8,523.00 | $11,869.99 |