| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $4,235.59 | $7,119.04 | |
Hally Health
| Professional | $207.15 | $392.61 | $667.49 | |
Medica
| Facility | $435.89 | $648.80 | $14,595.02 | |
Midlands
| Facility | $406.00 | $689.32 | $4,487.09 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |