| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $1,176.25 | $2,004.12 | $5,407.70 | |
Medica
| Facility | $1,962.88 | $3,042.46 | $9,346.00 | |
Medica
| Facility | AS | $576.61 | $576.61 | $576.61 |
Midlands
| Facility | $2,283.17 | $2,837.11 | $3,710.74 |