| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,511.89 | $6,760.83 | |
Hally Health
| Professional | $63.10 | $251.19 | $537.03 | |
Medica
| Facility | $158.49 | $524.81 | $4,677.35 | |
Midlands
| Professional | $158.49 | $457.09 | $524.81 | |
United
| Facility | $1,819.70 | $3,890.45 | $5,128.61 |