| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,693.00 | $5,549.00 | $7,943.37 | |
Hally Health
| Professional | $606.65 | $674.99 | $1,647.42 | |
Medica
| Facility | $688.91 | $1,277.63 | $8,689.00 | |
Midlands
| Facility | $868.75 | $1,071.80 | $1,662.80 | |
United
| Facility | $8,220.00 | $9,259.00 | $14,242.22 |