| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $946.33 | $3,751.94 | $7,119.04 | |
Hally Health
| Professional | $422.27 | $1,679.21 | $3,207.81 | |
Medica
| Facility | $728.53 | $2,722.16 | $8,857.49 | |
Midlands
| Facility | $816.16 | $2,683.08 | $3,714.41 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |