| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $2,570.40 | $6,760.83 | |
Hally Health
| Professional | $275.42 | $436.52 | $1,047.13 | |
Medica
| Facility | $354.81 | $776.25 | $6,606.93 | |
Midlands
| Professional | $537.03 | $676.08 | $1,122.02 | |
United
| Facility | $2,137.96 | $5,248.07 | $7,413.10 |