| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,576.15 | $7,119.04 | |
Hally Health
| Professional | $236.72 | $1,135.69 | $2,012.53 | |
Medica
| Facility | $408.29 | $1,611.00 | $4,985.21 | |
Midlands
| Facility | $458.86 | $1,545.41 | $2,443.38 | |
United
| Facility | $1,775.00 | $3,522.00 | $5,454.00 |