| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $695.16 | $5,463.36 | $7,119.04 | |
Hally Health
| Professional | $67.84 | $112.65 | $817.50 | |
Medica
| Facility | $104.93 | $184.15 | $2,711.04 | |
Midlands
| Facility | $138.16 | $184.15 | $1,216.72 | |
United
| Facility | $1,775.00 | $3,482.00 | $5,454.00 |