| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $4,786.30 | $7,079.46 | |
Hally Health
| Professional | $223.87 | $346.74 | $2,951.21 | |
Medica
| Facility | $331.13 | $562.34 | $1,949.84 | |
Midlands
| Professional | $524.81 | $575.44 | $645.65 | |
United
| Facility | $1,148.15 | $1,621.81 | $3,548.13 |