| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $2,951.21 | $6,456.54 | |
Hally Health
| Professional | $151.36 | $251.19 | $758.58 | |
Medica
| Facility | $223.87 | $1,621.81 | $4,677.35 | |
Midlands
| Professional | $338.84 | $363.08 | $758.58 | |
United
| Facility | $1,819.70 | $3,890.45 | $5,128.61 |