| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.83 | $3,089.00 | $6,298.62 | |
Hally Health
| Professional | $143.49 | $218.44 | $662.96 | |
Medica
| Facility | $223.21 | $410.18 | $4,233.38 | |
Midlands
| Facility | $240.20 | $347.33 | $469.09 | |
United
| Facility | $1,775.00 | $3,522.00 | $5,454.00 |