| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $5,370.32 | $7,943.28 | |
Hally Health
| Professional | $457.09 | $977.24 | $2,187.76 | |
Medica
| Facility | $758.58 | $1,258.93 | $6,606.93 | |
Medica
| Facility | AS | $229.09 | $229.09 | $229.09 |
Midlands
| Professional | $1,071.52 | $1,148.15 | $2,290.87 | |
United
| Facility | $2,137.96 | $5,248.07 | $7,413.10 |