| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $295.12 | $295.12 | $295.12 |
Hally Health
| Professional | 26 | $218.78 | $338.84 | $1,230.27 |
Medica
| Facility | 26 | $2,041.74 | $2,041.74 | $2,041.74 |
Midlands
| Professional | 26 | $478.63 | $524.81 | $831.76 |