| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $2,570.40 | $6,760.83 | |
Hally Health
| Professional | $125.89 | $199.53 | $575.44 | |
Medica
| Facility | $158.49 | $346.74 | $1,949.84 | |
Midlands
| Professional | $208.93 | $316.23 | $478.63 | |
United
| Facility | $1,148.15 | $1,621.81 | $3,548.13 |