| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $151.36 | $354.81 | $645.65 | |
Medica
| Facility | $891.25 | $10,000.00 | $17,378.01 | |
Medica
| Professional | $794.33 | $1,096.48 | $2,454.71 | |
Midlands
| Professional | $616.60 | $891.25 | $1,071.52 | |
United
| Professional | $758.58 | $1,122.02 | $2,290.87 |