| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Medica
| Facility | $4.00 | $6.00 | $7.60 | |
Medica
| Professional | $6.83 | $6.83 | $6.83 | |
Midlands
| Facility | $4.59 | $4.59 | $4.59 | |
Midlands
| Professional | $4.18 | $4.47 | $4.47 |