| 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 | $2,830.02 | $4,817.10 | $8,135.79 | |
Medica
| Facility | $4,212.78 | $6,748.85 | $8,658.14 | |
Midlands
| Facility | $4,615.82 | $6,848.03 | $9,061.70 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |