| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.21 | $1.21 | $1.21 | |
Aetna
| Professional | $1.21 | $1.21 | $1.42 | |
Medica
| Facility | $1.21 | $2.00 | $2.29 | |
Medica
| Professional | $0.71 | $0.71 | $0.71 | |
Midlands
| Facility | $0.71 | $0.71 | $0.71 | |
Midlands
| Professional | $0.71 | $0.71 | $0.71 |