| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $4,786.30 | $7,079.46 | |
Hally Health
| Professional | $281.84 | $478.63 | $1,230.27 | |
Medica
| Facility | $537.03 | $891.25 | $8,128.31 | |
Midlands
| Professional | $616.60 | $758.58 | $933.25 | |
United
| Facility | $3,162.28 | $5,495.41 | $8,912.51 |