| 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 | $199.22 | $351.19 | $834.43 | |
Medica
| Facility | $350.04 | $576.04 | $16,394.00 | |
Midlands
| Facility | $400.00 | $662.21 | $6,197.08 | |
United
| Facility | $5,341.00 | $7,091.00 | $10,320.00 |