| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $44.67 | $44.67 | |
Hally Health
| Facility | $151.36 | $151.36 | $151.36 | |
Midlands
| Facility | $12,589.25 | $12,589.25 | $12,589.25 | |
Wellmark
| Facility | $18,197.01 | $28,183.83 | $40,738.03 |