| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,981.07 | $5,370.32 | $7,943.28 | |
Hally Health
| Professional | $2,754.23 | $4,897.79 | $12,022.64 | |
Medica
| Facility | $2,691.53 | $6,025.60 | $7,943.28 | |
Midlands
| Professional | $6,025.60 | $6,456.54 | $9,120.11 | |
United
| Facility | $2,137.96 | $5,248.07 | $7,413.10 |