| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $208.93 | $295.12 | |
Hally Health
| Professional | $151.36 | $263.03 | $549.54 | |
Medica
| Facility | $141.25 | $263.03 | $371.54 | |
Midlands
| Professional | $229.09 | $316.23 | $562.34 |