| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,234.00 | $3,795.64 | $7,119.04 | |
Hally Health
| Professional | $65.09 | $154.28 | $913.26 | |
Medica
| Facility | $88.01 | $161.30 | $345.11 | |
Midlands
| Facility | $101.90 | $167.80 | $296.14 |