| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,265.80 | $5,370.32 | $7,943.28 | |
Hally Health
| Professional | $2,951.21 | $5,248.07 | $13,489.63 | |
Medica
| Facility | $2,818.38 | $6,606.93 | $8,128.31 | |
Midlands
| Professional | $6,606.93 | $6,918.31 | $10,000.00 | |
United
| Facility | $2,137.96 | $5,248.07 | $7,413.10 |