| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,576.15 | $7,119.04 | |
Hally Health
| Professional | $314.95 | $504.80 | $1,159.95 | |
Medica
| Facility | $404.89 | $654.65 | $1,775.00 | |
Medica
| Facility | AS | $152.44 | $152.44 | $152.44 |
Midlands
| Facility | $574.92 | $654.65 | $954.39 | |
United
| Facility | $1,204.00 | $1,640.00 | $2,126.00 |