| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,833.00 | $3,666.78 | $7,119.04 | |
Hally Health
| Professional | $376.20 | $684.97 | $1,193.46 | |
Medica
| Facility | $825.00 | $1,108.51 | $12,656.46 | |
Midlands
| Facility | $752.00 | $1,227.06 | $4,818.76 | |
United
| Facility | $7,221.00 | $8,523.00 | $11,869.99 |