| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $152.82 | $276.98 | $511.25 |
Cigna
| Facility | 26 | $262.27 | $270.14 | $278.02 |
Hally Health
| Professional | 26 | $79.03 | $128.04 | $264.24 |
Medica
| Facility | 26 | $617.36 | $799.28 | $799.28 |
Midlands
| Facility | 26 | $270.14 | $278.02 | $474.30 |