| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,693.00 | $5,549.00 | $7,943.37 | |
Aetna
| Professional | $5,390.00 | $5,390.00 | $5,390.00 | |
Hally Health
| Professional | $150.00 | $15,540.69 | $15,540.69 | |
Medica
| Facility | $8,689.00 | $14,242.22 | $33,044.01 | |
Midlands
| Facility | $10,725.73 | $14,291.18 | $19,054.90 | |
United
| Facility | $8,220.00 | $9,259.00 | $14,242.22 |