| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $63.11 | $130.56 | $237.27 |
Cigna
| Facility | 26 | $136.08 | $140.16 | $144.24 |
Hally Health
| Professional | 26 | $39.68 | $63.06 | $120.79 |
Medica
| Facility | 26 | $140.16 | $193.75 | $193.75 |
Midlands
| Facility | 26 | $140.16 | $144.24 | $224.58 |