| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $417.20 | $847.20 | $1,223.61 | |
Midlands
| Facility | $325.14 | $379.33 | $522.39 | |
United
| Facility | $496.98 | $509.11 | $754.24 |