| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,146.00 | $4,964.00 | $9,185.68 | |
Hally Health
| Professional | $183.50 | $268.32 | $1,681.62 | |
Medica
| Facility | $438.14 | $668.53 | $1,966.00 | |
Midlands
| Facility | $438.14 | $586.35 | $809.08 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |