| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $238.51 | $498.40 | $917.10 |
Cigna
| Facility | 26 | $487.01 | $501.62 | $516.23 |
Hally Health
| Professional | 26 | $154.18 | $271.76 | $1,390.77 |
Medica
| Facility | 26 | $387.23 | $753.90 | $753.90 |
Midlands
| Facility | 26 | $501.62 | $516.23 | $928.92 |