| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.78 | $52.33 | $96.67 |
Cigna
| Facility | 26 | $51.27 | $52.81 | $54.35 |
Hally Health
| Professional | 26 | $15.28 | $24.96 | $45.11 |
Medica
| Facility | 26 | $52.81 | $100.00 | $100.00 |
Midlands
| Facility | 26 | $52.81 | $54.35 | $89.64 |