| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $6,025.60 | $7,943.28 | |
Hally Health
| Professional | $549.54 | $1,000.00 | $2,344.23 | |
Medica
| Facility | $870.96 | $5,754.40 | $30,902.95 | |
Midlands
| Professional | $1,258.93 | $1,318.26 | $2,238.72 | |
United
| Facility | $9,549.93 | $15,135.61 | $30,199.52 |