| 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 | $297.87 | $496.65 | $1,230.66 | |
Medica
| Facility | $434.18 | $733.76 | $1,623.00 | |
Medica
| Facility | AS | $146.69 | $146.69 | $146.69 |
Midlands
| Facility | $550.41 | $705.24 | $913.05 | |
United
| Facility | $1,204.00 | $1,640.00 | $2,126.00 |