| 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 | $288.72 | $558.98 | $1,062.50 | |
Medica
| Facility | $679.18 | $897.94 | $8,722.70 | |
Midlands
| Facility | $677.59 | $950.02 | $4,818.76 | |
United
| Facility | $4,217.00 | $5,732.00 | $8,342.00 |