| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $684.07 | $3,419.00 | $6,801.90 | |
Hally Health
| Professional | $272.18 | $513.22 | $872.80 | |
Medica
| Facility | $501.97 | $761.54 | $7,155.00 | |
Midlands
| Facility | $639.23 | $873.93 | $3,093.19 | |
United
| Facility | $3,711.00 | $6,110.41 | $8,342.00 |