| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,277.00 | $5,549.00 | $11,100.08 | |
Hally Health
| Professional | $11.48 | $14.39 | $45.95 | |
Medica
| Facility | $14.51 | $25.19 | $35.90 | |
Midlands
| Facility | $15.80 | $20.99 | $29.41 |