| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $3,801.89 | $6,760.83 | |
Hally Health
| Professional | $263.03 | $1,584.89 | $3,019.95 | |
Medica
| Facility | $602.56 | $2,691.53 | $9,332.54 | |
Midlands
| Professional | $562.34 | $1,995.26 | $3,090.30 | |
United
| Facility | $4,786.30 | $7,762.47 | $10,715.19 |