| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $5,370.32 | $7,943.28 | |
Hally Health
| Professional | $1,412.54 | $2,570.40 | $4,570.88 | |
Medica
| Facility | $1,698.24 | $3,388.44 | $7,079.46 | |
Medica
| Facility | AS | $691.83 | $691.83 | $691.83 |
Midlands
| Professional | $3,162.28 | $3,388.44 | $4,786.30 | |
United
| Facility | $2,137.96 | $5,248.07 | $7,413.10 |