| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,468.00 | $4,917.20 | $8,042.03 | |
Hally Health
| Professional | $251.88 | $1,240.07 | $1,553.14 | |
Medica
| Facility | $435.22 | $2,086.82 | $8,857.49 | |
Midlands
| Facility | $486.57 | $2,304.04 | $3,170.91 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |