| 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 | $2,694.08 | $4,421.14 | $7,197.99 | |
Medica
| Facility | $3,607.26 | $6,195.93 | $7,856.00 | |
Midlands
| Facility | $4,139.28 | $6,341.60 | $8,294.39 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |