| 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 | $554.92 | $895.89 | $1,861.43 | |
Medica
| Facility | $642.95 | $1,233.11 | $7,123.00 | |
Midlands
| Facility | $800.67 | $1,190.78 | $1,612.81 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |