| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,146.00 | $5,091.00 | $7,120.36 | |
Hally Health
| Professional | $225.48 | $378.76 | $2,822.83 | |
Medica
| Facility | $331.52 | $569.71 | $1,607.00 | |
Midlands
| Facility | $420.43 | $541.49 | $699.90 | |
United
| Facility | $1,204.00 | $1,775.00 | $3,560.25 |