| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.67 | $70.40 | $125.84 | |
Aetna
| Professional | $1.66 | $1.70 | $3.52 | |
Medica
| Facility | $6.77 | $34.00 | $162.46 | |
Midlands
| Facility | $0.16 | $0.16 | $1.00 | |
Midlands
| Professional | $0.16 | $0.16 | $0.16 |