| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | 26 | $275.42 | $380.19 | $602.56 |
Medica
| Facility | 26 | $1,096.48 | $1,258.93 | $1,258.93 |
Midlands
| Professional | 26 | $537.03 | $645.65 | $1,174.90 |
Midlands
| Facility | 26 | $1,148.15 | $1,148.15 | $1,148.15 |