| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $3,162.28 | $7,244.36 | |
Hally Health
| Professional | $295.12 | $524.81 | $1,174.90 | |
Medica
| Facility | $501.19 | $831.76 | $7,943.28 | |
Midlands
| Professional | $645.65 | $741.31 | $954.99 | |
United
| Facility | $4,265.80 | $6,309.57 | $8,912.51 |