| 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 | $104.32 | $205.00 | $351.80 | |
Medica
| Facility | $228.01 | $292.55 | $3,522.00 | |
Midlands
| Facility | $222.32 | $313.70 | $707.92 | |
United
| Facility | $1,775.00 | $3,522.00 | $5,454.00 |