| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,576.15 | $7,119.04 | |
Hally Health
| Professional | $216.06 | $342.78 | $1,281.83 | |
Medica
| Facility | $225.33 | $407.07 | $1,775.00 | |
Medica
| Facility | 62 | $650.92 | $650.92 | $650.92 |
Medica
| Facility | AS | $104.15 | $104.15 | $104.15 |
Midlands
| Facility | $355.69 | $443.46 | $594.44 | |
United
| Facility | $1,204.00 | $1,640.00 | $2,126.00 |