| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.84 | $136.40 | $146.44 | |
Hally Health
| Professional | $90.41 | $150.00 | $393.49 | |
Medica
| Facility | $87.69 | $198.09 | $269.18 | |
Midlands
| Facility | $140.69 | $202.73 | $285.57 |