| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $137.47 | $325.47 | $600.51 |
Cigna
| Facility | 26 | $314.77 | $324.22 | $333.67 |
Hally Health
| Professional | 26 | $93.93 | $138.63 | $441.09 |
Medica
| Facility | 26 | $295.85 | $455.64 | $455.64 |
Midlands
| Facility | 26 | $324.22 | $333.67 | $556.79 |