| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,964.00 | $6,955.00 | $11,668.15 | |
Hally Health
| Professional | $534.35 | $835.04 | $1,812.00 | |
Medica
| Facility | $1,021.62 | $1,700.71 | $29,124.36 | |
Midlands
| Facility | $858.16 | $1,235.21 | $1,474.07 | |
United
| Facility | $8,604.00 | $13,476.00 | $23,884.54 |