| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $42.57 | $65.87 | $642.71 | |
Medica
| Facility | $94.28 | $261.51 | $1,914.00 | |
Midlands
| Facility | $89.32 | $147.77 | $330.26 | |
United
| Facility | $1,204.00 | $1,607.00 | $2,126.00 |