| 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 | $1,200.77 | $1,946.80 | $3,212.63 | |
Medica
| Facility | $1,620.74 | $2,886.00 | $6,608.00 | |
Midlands
| Facility | $1,887.11 | $2,819.37 | $3,687.52 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |