| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.19 | $2,398.19 | $2,398.19 | |
Hally Health
| Professional | $23.64 | $35.70 | $439.83 | |
Medica
| Facility | $60.76 | $288.62 | $1,914.00 | |
Midlands
| Facility | $60.76 | $113.33 | $357.14 | |
United
| Facility | $1,204.00 | $1,607.00 | $2,126.00 |