| 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 | $329.20 | $1,398.23 | $2,618.51 | |
Medica
| Facility | $568.41 | $2,334.78 | $8,857.49 | |
Midlands
| Facility | $637.42 | $2,482.96 | $3,212.17 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |