| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $7,762.47 | $10,471.29 | |
Hally Health
| Professional | $338.84 | $2,570.40 | $7,943.28 | |
Medica
| Facility | $891.25 | $11,220.18 | $16,595.87 | |
Midlands
| Professional | $912.01 | $9,549.93 | $15,848.93 | |
United
| Facility | $8,128.31 | $12,882.50 | $17,378.01 |