| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $76.44 | $137.43 | $294.73 | |
Medica
| Facility | $126.05 | $206.81 | $1,623.00 | |
Midlands
| Facility | $131.46 | $195.45 | $257.50 | |
United
| Facility | $1,204.00 | $1,607.00 | $2,126.00 |