| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $4,778.89 | $7,119.04 | |
Hally Health
| Professional | $372.61 | $1,479.13 | $2,647.70 | |
Medica
| Facility | $524.21 | $1,964.21 | $9,495.24 | |
Midlands
| Facility | $777.87 | $2,644.99 | $8,234.16 | |
United
| Facility | $1,770.00 | $6,588.00 | $10,320.00 |