| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $2,570.40 | $6,760.83 | |
Hally Health
| Professional | $151.36 | $263.03 | $812.83 | |
Medica
| Facility | $218.78 | $4,897.79 | $9,332.54 | |
Midlands
| Professional | $281.84 | $354.81 | $588.84 | |
United
| Facility | $4,365.16 | $6,456.54 | $9,332.54 |