| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,964.00 | $6,098.00 | $11,100.08 | |
Hally Health
| Professional | $840.71 | $1,528.53 | $2,411.02 | |
Medica
| Facility | $1,509.31 | $2,319.98 | $27,598.19 | |
Midlands
| Facility | $1,324.29 | $2,012.03 | $2,631.59 | |
United
| Facility | $9,542.00 | $12,871.00 | $16,293.00 |