| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $3,090.30 | $7,943.28 | |
Hally Health
| Professional | $186.21 | $501.19 | $794.33 | |
Medica
| Facility | $239.88 | $575.44 | $44,668.36 | |
Midlands
| Professional | $426.58 | $707.95 | $1,096.48 | |
United
| Facility | $13,803.84 | $21,877.62 | $52,480.75 |