| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.65 | $2,181.87 | $5,549.00 | |
Hally Health
| Professional | $86.87 | $158.07 | $394.72 | |
Medica
| Facility | $125.19 | $225.14 | $1,607.00 | |
Medica
| Facility | 52 | $237.37 | $237.37 | $237.37 |
Midlands
| Facility | $148.79 | $225.14 | $361.25 | |
United
| Facility | $1,151.00 | $1,640.00 | $3,560.25 |