| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $3,235.94 | $6,760.83 | |
Hally Health
| Professional | $186.21 | $331.13 | $851.14 | |
Medica
| Facility | $302.00 | $5,623.41 | $19,054.61 | |
Midlands
| Professional | $436.52 | $489.78 | $851.14 | |
United
| Facility | $5,495.41 | $9,332.54 | $18,620.87 |