| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.84 | $2,700.96 | $7,119.04 | |
Hally Health
| Professional | $20.03 | $30.16 | $161.22 | |
Medica
| Facility | $27.40 | $47.43 | $1,026.00 | |
Midlands
| Facility | $33.70 | $46.58 | $67.78 | |
United
| Facility | $1,026.00 | $1,607.00 | $1,966.00 |