| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $3,090.30 | $6,760.83 | |
Hally Health
| Professional | $251.19 | $489.78 | $954.99 | |
Medica
| Facility | $436.52 | $851.14 | $1,862.09 | |
Midlands
| Professional | $602.56 | $812.83 | $1,122.02 | |
United
| Facility | $1,071.52 | $1,698.24 | $2,398.83 |