| 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 | $238.94 | $399.70 | $1,034.52 | |
Medica
| Facility | $349.91 | $591.35 | $4,123.70 | |
Midlands
| Facility | $444.01 | $571.03 | $737.71 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,856.00 |