| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,468.00 | $4,917.20 | $8,042.03 | |
Hally Health
| Professional | $284.24 | $501.01 | $968.40 | |
Medica
| Facility | $506.48 | $809.47 | $8,586.74 | |
Midlands
| Facility | $616.00 | $933.35 | $3,170.91 | |
United
| Facility | $4,217.00 | $5,732.00 | $8,342.00 |