| 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 | $2,763.38 | $4,625.68 | $7,810.81 | |
Medica
| Facility | $4,019.18 | $6,582.92 | $8,368.44 | |
Midlands
| Facility | $4,590.80 | $6,582.92 | $9,030.99 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |