| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.83 | $2,851.71 | $7,119.04 | |
Hally Health
| Professional | $178.36 | $999.84 | $1,392.09 | |
Medica
| Facility | $365.53 | $1,331.66 | $3,044.00 | |
Midlands
| Facility | $469.37 | $1,274.90 | $2,356.19 | |
United
| Facility | $1,770.00 | $4,663.00 | $7,305.00 |