| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,393.00 | $5,549.00 | $12,092.50 | |
Hally Health
| Professional | $1,007.79 | $1,419.03 | $3,526.55 | |
Medica
| Facility | $1,832.33 | $3,362.26 | $11,732.00 | |
Midlands
| Facility | $1,820.00 | $2,958.04 | $4,188.66 | |
United
| Facility | $7,221.00 | $8,060.00 | $11,869.99 |