| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $291.48 | $291.48 | $465.90 | |
Hally Health
| Professional | $282.30 | $303.94 | $601.14 | |
Medica
| Facility | $291.48 | $326.45 | $585.21 | |
United
| Facility | $585.21 | $1,078.02 | $1,100.67 |