| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $2,511.89 | $6,760.83 | |
Hally Health
| Professional | $338.84 | $724.44 | $1,230.27 | |
Medica
| Facility | $676.08 | $1,047.13 | $22,387.21 | |
Midlands
| Professional | $741.31 | $912.01 | $1,096.48 | |
United
| Facility | $3,162.28 | $6,165.95 | $25,118.86 |