| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $709.10 | $3,489.13 | $6,446.00 | |
Hally Health
| Professional | $128.76 | $243.78 | $464.25 | |
Medica
| Facility | $195.31 | $350.69 | $1,341.00 | |
Midlands
| Facility | $290.00 | $375.18 | $528.44 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 |