| 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 | $282.17 | $547.28 | $1,060.57 | |
Medica
| Facility | $605.52 | $909.92 | $5,847.00 | |
Midlands
| Facility | $662.29 | $926.03 | $3,170.91 | |
United
| Facility | $1,775.00 | $3,522.00 | $5,454.00 |