| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $2,511.89 | $6,760.83 | |
Hally Health
| Professional | $302.00 | $645.65 | $1,122.02 | |
Medica
| Facility | $602.56 | $954.99 | $8,511.38 | |
Midlands
| Professional | $660.69 | $831.76 | $1,000.00 | |
United
| Facility | $1,819.70 | $4,677.35 | $9,332.54 |