| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $2,511.89 | $6,760.83 | |
Hally Health
| Professional | $309.03 | $660.69 | $1,288.25 | |
Medica
| Facility | $645.65 | $1,000.00 | $12,302.69 | |
Midlands
| Professional | $676.08 | $851.14 | $1,023.29 | |
United
| Facility | $4,365.16 | $7,079.46 | $14,125.38 |