| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $2,511.89 | $6,760.83 | |
Hally Health
| Professional | $151.36 | $1,000.00 | $1,258.93 | |
Medica
| Facility | $181.97 | $977.24 | $2,187.76 | |
Midlands
| Professional | $380.19 | $1,737.80 | $2,344.23 | |
United
| Facility | $1,023.29 | $1,621.81 | $3,548.13 |