| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $4,786.30 | $7,079.46 | |
Hally Health
| Professional | $338.84 | $562.34 | $1,445.44 | |
Medica
| Facility | $616.60 | $1,047.13 | $5,128.61 | |
Midlands
| Professional | $758.58 | $912.01 | $1,096.48 | |
United
| Facility | $2,570.40 | $4,677.35 | $6,309.57 |