| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $5,370.32 | $7,943.28 | |
Hally Health
| Professional | $1,023.29 | $1,819.70 | $4,365.16 | |
Medica
| Facility | $2,089.30 | $2,818.38 | $7,244.36 | |
Midlands
| Professional | $2,398.83 | $2,818.38 | $4,168.69 | |
United
| Facility | $2,137.96 | $5,248.07 | $7,413.10 |