| 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 | $270.39 | $522.33 | $1,017.22 | |
Medica
| Facility | $570.64 | $851.32 | $7,926.82 | |
Midlands
| Facility | $634.64 | $889.54 | $4,818.76 | |
United
| Facility | $3,044.00 | $5,023.00 | $7,305.00 |