| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $125.86 | $161.44 | $700.36 | |
Medica
| Facility | $163.00 | $2,559.00 | $5,521.00 | |
Midlands
| Facility | $224.08 | $385.84 | $1,671.41 | |
United
| Facility | $3,044.00 | $4,663.00 | $7,305.00 |