| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.57 | $2,234.00 | $6,066.00 | |
Hally Health
| Professional | $190.08 | $268.33 | $1,043.71 | |
Medica
| Facility | $223.29 | $358.79 | $1,607.00 | |
Midlands
| Facility | $306.62 | $410.74 | $532.52 | |
United
| Facility | $1,204.00 | $1,607.00 | $2,126.00 |