| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $5,370.32 | $27,542.29 | |
Hally Health
| Professional | $2,137.96 | $3,981.07 | $8,317.64 | |
Medica
| Facility | $2,344.23 | $4,897.79 | $7,079.46 | |
Medica
| Facility | AS | $1,047.13 | $1,047.13 | $1,047.13 |
Midlands
| Professional | $4,786.30 | $5,128.61 | $13,803.84 | |
United
| Facility | $2,137.96 | $5,248.07 | $7,413.10 |