| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,833.00 | $3,666.78 | $7,119.04 | |
Hally Health
| Professional | $153.16 | $585.08 | $1,158.15 | |
Medica
| Facility | $381.93 | $1,049.00 | $7,407.10 | |
Midlands
| Facility | $390.69 | $1,101.35 | $3,170.91 | |
United
| Facility | $4,217.00 | $5,732.00 | $8,342.00 |