| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,906.00 | $4,676.82 | $7,119.04 | |
Hally Health
| Professional | $272.74 | $519.38 | $800.64 | |
Medica
| Facility | $258.62 | $537.60 | $31,332.63 | |
Midlands
| Facility | $422.76 | $768.08 | $37,029.47 | |
United
| Facility | $12,855.00 | $16,742.00 | $40,166.00 |