| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,277.00 | $5,549.00 | $11,100.08 | |
Hally Health
| Professional | $313.55 | $526.78 | $1,008.43 | |
Medica
| Facility | $576.26 | $897.14 | $1,775.00 | |
Midlands
| Facility | $519.99 | $773.90 | $990.82 | |
United
| Facility | $1,204.00 | $1,607.00 | $2,126.00 |