| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $608.42 | $666.62 | $1,001.15 | |
Medica
| Facility | $279.01 | $18,797.00 | $120,110.34 | |
Medica
| Professional | $127.64 | $279.01 | $1,382.80 | |
Midlands
| Facility | $253.72 | $55,872.63 | $84,415.08 | |
Midlands
| Professional | $210.26 | $279.01 | $914.67 | |
United
| Professional | $126.02 | $257.42 | $366.70 |