| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $2,511.89 | $6,760.83 | |
Hally Health
| Professional | $141.25 | $512.86 | $1,174.90 | |
Medica
| Facility | $154.88 | $524.81 | $1,621.81 | |
Midlands
| Professional | $346.74 | $891.25 | $1,071.52 | |
United
| Facility | $1,023.29 | $1,621.81 | $3,548.13 |