| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $2,290.87 | $6,456.54 | |
Hally Health
| Professional | $186.21 | $1,288.25 | $2,344.23 | |
Medica
| Facility | $426.58 | $1,949.84 | $5,248.07 | |
Midlands
| Professional | $407.38 | $1,513.56 | $2,454.71 | |
United
| Facility | $1,819.70 | $3,981.07 | $5,888.44 |