| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $3,981.07 | $31,622.78 | |
Hally Health
| Professional | $537.03 | $812.83 | $2,137.96 | |
Medica
| Facility | $977.24 | $19,054.61 | $95,499.26 | |
Midlands
| Professional | $1,122.02 | $1,318.26 | $2,238.72 | |
United
| Facility | $16,218.10 | $40,738.03 | $95,499.26 |