| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $214.57 | $497.28 | $692.36 | |
Medica
| Facility | $892.06 | $9,082.00 | $17,093.04 | |
Medica
| Professional | $793.81 | $1,353.02 | $2,918.94 | |
Midlands
| Facility | $892.06 | $4,634.43 | $6,179.24 | |
Midlands
| Professional | $614.98 | $980.99 | $1,135.95 | |
United
| Professional | $793.81 | $1,593.40 | $2,273.34 |