| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $416.87 | $446.68 | $1,148.15 | |
Hally Health
| Professional | $151.36 | $1,071.52 | $1,071.52 | |
Medica
| Facility | $645.65 | $1,659.59 | $2,398.83 | |
United
| Facility | $1,122.02 | $1,949.84 | $2,570.40 |