| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.12 | $25.12 | $91.20 |
Cigna
| Facility | 26 | $53.70 | $54.95 | $56.23 |
Hally Health
| Professional | 26 | $25.70 | $36.31 | $69.18 |
Medica
| Facility | 26 | $66.07 | $125.89 | $125.89 |
Midlands
| Professional | 26 | $36.31 | $58.88 | $69.18 |
Midlands
| Facility | 26 | $56.23 | $56.23 | $56.23 |