| 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 | $295.27 | $491.80 | $980.68 | |
Medica
| Facility | $431.05 | $728.47 | $4,663.00 | |
Midlands
| Facility | $547.26 | $702.05 | $904.61 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,856.00 |