| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $3,981.07 | $6,760.83 | |
Hally Health
| Professional | $389.05 | $741.31 | $1,995.26 | |
Medica
| Facility | $691.83 | $3,162.28 | $9,332.54 | |
Midlands
| Professional | $851.14 | $954.99 | $1,548.82 | |
United
| Facility | $4,365.16 | $6,456.54 | $9,332.54 |