| 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 | $300.83 | $580.20 | $1,113.68 | |
Medica
| Facility | $705.96 | $964.78 | $7,271.65 | |
Midlands
| Facility | $705.96 | $985.48 | $3,170.91 | |
United
| Facility | $3,044.00 | $5,023.00 | $7,305.00 |