| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,576.15 | $7,119.04 | |
Hally Health
| Professional | $55.30 | $112.14 | $220.61 | |
Medica
| Facility | $102.85 | $181.11 | $2,033.70 | |
Midlands
| Facility | $109.00 | $165.28 | $242.63 | |
United
| Facility | $1,775.00 | $3,522.00 | $5,454.00 |