| 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 | $97.99 | $165.13 | $329.10 | |
Medica
| Facility | $190.21 | $300.87 | $3,522.00 | |
Midlands
| Facility | $210.11 | $291.04 | $921.98 | |
United
| Facility | $1,775.00 | $3,522.00 | $5,454.00 |