| 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 | $340.00 | $613.34 | $1,057.47 | |
Medica
| Facility | $640.10 | $851.74 | $5,847.00 | |
Midlands
| Facility | $529.03 | $805.68 | $1,016.12 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |