| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $3,666.78 | $7,119.04 | |
Hally Health
| Professional | $315.22 | $1,413.03 | $1,774.83 | |
Medica
| Facility | $543.66 | $2,364.62 | $8,342.00 | |
Midlands
| Facility | $610.05 | $2,482.96 | $3,170.91 | |
United
| Facility | $4,217.00 | $5,732.00 | $8,342.00 |