| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $3,090.30 | $6,760.83 | |
Hally Health
| Professional | $112.20 | $257.04 | $758.58 | |
Medica
| Facility | $223.87 | $478.63 | $1,621.81 | |
Midlands
| Professional | $251.19 | $446.68 | $549.54 | |
United
| Facility | $758.58 | $1,318.26 | $2,344.23 |