| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $3,235.94 | $6,760.83 | |
Hally Health
| Professional | $251.19 | $436.52 | $1,318.26 | |
Medica
| Facility | $363.08 | $5,011.87 | $9,549.93 | |
Midlands
| Professional | $467.74 | $602.56 | $1,000.00 | |
United
| Facility | $4,786.30 | $7,762.47 | $10,715.19 |