| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $2,511.89 | $6,760.83 | |
Hally Health
| Professional | $194.98 | $1,445.44 | $1,862.09 | |
Medica
| Facility | $478.63 | $2,691.53 | $10,232.93 | |
Midlands
| Professional | $489.78 | $3,090.30 | $3,630.78 | |
United
| Facility | $7,244.36 | $9,332.54 | $14,454.40 |