| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.35 | $5,108.00 | $10,506.16 | |
Hally Health
| Professional | $763.23 | $1,130.66 | $2,970.15 | |
Medica
| Facility | $1,286.09 | $2,220.37 | $12,371.41 | |
Midlands
| Facility | $1,532.41 | $2,518.46 | $4,818.76 | |
United
| Facility | $7,221.00 | $8,523.00 | $11,869.99 |