| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $157.31 | $382.14 | $707.07 |
Cigna
| Facility | 26 | $370.05 | $381.15 | $392.25 |
Hally Health
| Professional | 26 | $112.14 | $161.91 | $666.72 |
Medica
| Facility | 26 | $876.64 | $1,122.16 | $1,122.16 |
Midlands
| Facility | 26 | $381.15 | $392.25 | $666.72 |