| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $94.62 | $185.30 | $342.43 |
Cigna
| Facility | 26 | $177.30 | $182.62 | $187.94 |
Hally Health
| Professional | 26 | $51.75 | $83.43 | $293.18 |
Medica
| Facility | 26 | $131.63 | $251.32 | $251.32 |
Midlands
| Facility | 26 | $182.62 | $187.94 | $311.33 |