| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $1,000.00 | $7,244.36 | |
Hally Health
| Professional | $72.44 | $117.49 | $1,230.27 | |
Medica
| Facility | $109.65 | $218.78 | $3,235.94 | |
Midlands
| Professional | $141.25 | $177.83 | $194.98 | |
United
| Facility | $1,621.81 | $2,884.03 | $4,897.79 |