| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.01 | $2,050.65 | $6,298.62 | |
Hally Health
| Professional | $81.31 | $772.33 | $983.55 | |
Medica
| Facility | $162.93 | $1,017.36 | $2,102.88 | |
Midlands
| Facility | $214.01 | $916.95 | $1,790.27 | |
United
| Facility | $1,770.00 | $4,663.00 | $7,305.00 |