| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.76 | $45.76 | $45.76 | |
Hally Health
| Professional | $150.00 | $203.67 | $203.67 | |
Medica
| Facility | $70.47 | $717.27 | $1,506.71 | |
Midlands
| Facility | $574.89 | $846.75 | $1,360.45 |