| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $2,511.89 | $6,760.83 | |
Hally Health
| Professional | $134.90 | $218.78 | $616.60 | |
Medica
| Facility | $181.97 | $338.84 | $1,621.81 | |
Midlands
| Professional | $295.12 | $338.84 | $398.11 | |
United
| Facility | $1,148.15 | $1,621.81 | $3,548.13 |