| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.55 | $27.79 | $51.34 |
Cigna
| Facility | 26 | $27.69 | $28.52 | $29.35 |
Hally Health
| Professional | 26 | $8.10 | $13.25 | $23.99 |
Medica
| Facility | 26 | $28.52 | $100.00 | $100.00 |
Midlands
| Facility | 26 | $28.52 | $29.35 | $48.60 |