| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $89.56 | $128.80 | $342.26 | |
Medica
| Facility | $136.38 | $244.70 | $1,914.00 | |
Midlands
| Facility | $150.52 | $222.52 | $255.22 | |
United
| Facility | $1,204.00 | $1,607.00 | $2,126.00 |