| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $966.00 | $2,912.34 | $7,119.04 | |
Hally Health
| Professional | $72.59 | $120.50 | $1,222.53 | |
Medica
| Facility | $113.25 | $200.14 | $2,711.04 | |
Midlands
| Facility | $145.90 | $194.71 | $1,060.09 | |
United
| Facility | $1,775.00 | $3,482.00 | $5,454.00 |