| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $38.06 | $72.16 | $132.91 |
Cigna
| Facility | 26 | $72.33 | $74.50 | $76.67 |
Hally Health
| Professional | 26 | $20.38 | $33.17 | $58.50 |
Medica
| Facility | 26 | $74.50 | $129.00 | $129.00 |
Midlands
| Facility | 26 | $74.50 | $76.67 | $121.32 |