| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,277.00 | $5,549.00 | $11,100.08 | |
Hally Health
| Professional | $290.00 | $527.55 | $909.94 | |
Medica
| Facility | $548.29 | $724.74 | $5,847.00 | |
Midlands
| Facility | $451.14 | $687.04 | $868.10 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |