| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,731.68 | $4,911.00 | $7,120.36 | |
Hally Health
| Professional | $250.36 | $409.29 | $1,136.08 | |
Medica
| Facility | $419.49 | $649.94 | $1,607.00 | |
Midlands
| Facility | $484.62 | $625.19 | $826.97 | |
United
| Facility | $1,204.00 | $1,640.00 | $2,126.00 |