| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,146.00 | $5,091.00 | $7,120.36 | |
Hally Health
| Professional | $616.70 | $975.18 | $2,012.66 | |
Medica
| Facility | $1,063.60 | $1,629.51 | $6,267.00 | |
Midlands
| Facility | $1,271.99 | $1,689.29 | $2,961.89 | |
United
| Facility | $3,044.00 | $4,663.00 | $7,305.00 |