| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.58 | $46.37 | $85.33 |
Cigna
| Facility | 26 | $44.96 | $46.31 | $47.66 |
Hally Health
| Professional | 26 | $13.42 | $21.86 | $49.07 |
Medica
| Facility | 26 | $46.31 | $100.00 | $100.00 |
Midlands
| Facility | 26 | $46.31 | $47.66 | $79.98 |