| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.61 | $47.70 | $64.30 |
Cigna
| Facility | 26 | $30.76 | $30.76 | $30.76 |
Hally Health
| Professional | 26 | $30.23 | $41.18 | $82.08 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |