| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $133.56 | $5,900.80 | $10,336.04 | |
Medica
| Professional | $170.34 | $382.80 | $795.58 | |
Midlands
| Facility | $139.82 | $2,916.50 | $3,986.14 | |
Midlands
| Professional | $133.56 | $170.34 | $298.13 | |
United
| Professional | $255.87 | $372.18 | $757.22 |