| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $151.36 | $151.36 | $151.36 |
Hally Health
| Professional | 26 | $109.65 | $181.97 | $1,096.48 |
Medica
| Facility | 26 | $501.19 | $501.19 | $501.19 |
Midlands
| Professional | 26 | $263.03 | $269.15 | $407.38 |