| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $3,019.95 | $6,456.54 | |
Hally Health
| Professional | $251.19 | $1,412.54 | $1,862.09 | |
Medica
| Facility | $575.44 | $2,691.53 | $8,511.38 | |
Midlands
| Professional | $549.54 | $1,949.84 | $3,090.30 | |
United
| Facility | $4,365.16 | $6,456.54 | $9,332.54 |