| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $4,786.30 | $10,964.78 | |
Hally Health
| Professional | $512.86 | $758.58 | $1,819.70 | |
Medica
| Facility | $676.08 | $1,479.11 | $8,317.64 | |
Midlands
| Professional | $954.99 | $1,348.96 | $1,621.81 | |
United
| Facility | $4,365.16 | $6,606.93 | $8,912.51 |