| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $2,511.89 | $6,760.83 | |
Hally Health
| Professional | $389.05 | $812.83 | $1,862.09 | |
Medica
| Facility | $794.33 | $1,230.27 | $12,302.69 | |
Midlands
| Professional | $851.14 | $1,047.13 | $1,258.93 | |
United
| Facility | $4,365.16 | $7,079.46 | $14,125.38 |