| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,421.00 | $4,604.83 | $8,042.03 | |
Hally Health
| Professional | $260.89 | $460.25 | $963.29 | |
Medica
| Facility | $470.46 | $751.90 | $8,586.74 | |
Midlands
| Facility | $571.00 | $857.21 | $3,170.91 | |
United
| Facility | $4,217.00 | $5,732.00 | $8,342.00 |