| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.62 | $2,570.40 | $6,456.54 | |
Hally Health
| Professional | $19.95 | $39.81 | $186.21 | |
Medica
| Facility | $21.88 | $47.86 | $1,148.15 | |
Midlands
| Professional | $40.74 | $50.12 | $57.54 | |
United
| Facility | $398.11 | $1,202.26 | $2,344.23 |