| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $184.38 | $184.38 | $184.38 | |
Hally Health
| Professional | $150.00 | $208.06 | $208.06 | |
Medica
| Facility | $283.95 | $1,103.32 | $2,317.64 | |
Midlands
| Facility | $447.00 | $1,302.50 | $1,736.66 |