| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,964.00 | $6,960.00 | $11,611.47 | |
Hally Health
| Professional | $870.19 | $1,239.34 | $4,528.66 | |
Medica
| Facility | $1,702.03 | $3,487.77 | $11,495.00 | |
Midlands
| Facility | $2,352.00 | $3,141.50 | $4,188.66 | |
United
| Facility | $7,221.00 | $8,060.00 | $11,869.99 |