| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $61.86 | $82.91 | $132.97 |
Cigna
| Facility | 26 | $81.17 | $83.61 | $86.04 |
Hally Health
| Professional | 26 | $23.74 | $38.75 | $84.00 |
Medica
| Facility | 26 | $83.61 | $115.03 | $115.03 |
Midlands
| Facility | 26 | $83.61 | $86.04 | $140.34 |