| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,277.00 | $6,066.00 | $11,100.08 | |
Hally Health
| Professional | $1,568.55 | $2,553.12 | $6,918.40 | |
Medica
| Facility | $2,255.51 | $3,689.80 | $5,706.23 | |
Medica
| Facility | AS | $778.25 | $778.25 | $778.25 |
Midlands
| Facility | $2,992.62 | $3,741.59 | $4,931.68 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,856.00 |