| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $5,370.32 | $7,943.28 | |
Hally Health
| Professional | $141.25 | $251.19 | $549.54 | |
Medica
| Facility | $245.47 | $398.11 | $6,606.93 | |
Medica
| Facility | AS | $67.61 | $67.61 | $67.61 |
Midlands
| Professional | $323.59 | $398.11 | $602.56 | |
United
| Facility | $2,137.96 | $5,248.07 | $7,413.10 |