| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $4,570.88 | $7,079.46 | |
Hally Health
| Professional | $457.09 | $691.83 | $1,905.46 | |
Medica
| Facility | $758.58 | $16,595.87 | $51,286.14 | |
Midlands
| Professional | $870.96 | $1,122.02 | $1,862.09 | |
United
| Facility | $12,882.50 | $21,877.62 | $51,286.14 |