| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.17 | $1,625.26 | $6,066.00 | |
Hally Health
| Professional | $142.63 | $476.99 | $865.18 | |
Medica
| Facility | $380.72 | $751.82 | $4,699.47 | |
Midlands
| Facility | $370.22 | $774.98 | $1,476.40 | |
United
| Facility | $3,044.00 | $5,023.00 | $7,305.00 |