| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $588.84 | $588.84 | $588.84 |
Hally Health
| Professional | 26 | $436.52 | $616.60 | $3,090.30 |
Medica
| Facility | 26 | $3,890.45 | $3,890.45 | $3,890.45 |
Midlands
| Professional | 26 | $707.95 | $1,047.13 | $1,659.59 |