| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $4,235.59 | $7,119.04 | |
Hally Health
| Professional | $250.11 | $373.38 | $1,035.45 | |
Medica
| Facility | $320.70 | $653.34 | $9,399.00 | |
Midlands
| Facility | $469.65 | $766.78 | $3,170.91 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |