| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $4,786.30 | $9,549.93 | |
Hally Health
| Professional | $295.12 | $562.34 | $1,412.54 | |
Medica
| Facility | $501.19 | $1,023.29 | $5,495.41 | |
Midlands
| Professional | $724.44 | $954.99 | $1,202.26 | |
United
| Facility | $2,691.53 | $5,011.87 | $6,760.83 |