| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.17 | $39.02 | $59.90 |
Cigna
| Facility | 26 | $26.16 | $26.16 | $26.16 |
Hally Health
| Professional | 26 | $25.30 | $36.64 | $186.01 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |