| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,505.21 | $6,491.10 | $11,611.47 | |
Hally Health
| Professional | $913.06 | $1,427.11 | $3,696.79 | |
Medica
| Facility | $1,750.73 | $3,166.76 | $59,701.34 | |
Midlands
| Facility | $1,625.28 | $2,175.67 | $2,808.21 | |
United
| Facility | $12,198.00 | $16,010.00 | $28,134.95 |