| 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 | $236.89 | $382.53 | $801.99 | |
Medica
| Facility | $273.04 | $530.55 | $6,572.00 | |
Midlands
| Facility | $340.59 | $505.70 | $696.00 | |
United
| Facility | $2,126.00 | $5,854.53 | $7,305.00 |