| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $89.32 | $181.61 | $334.34 |
Cigna
| Facility | 26 | $177.35 | $182.67 | $187.99 |
Hally Health
| Professional | 26 | $48.71 | $79.27 | $106.94 |
Medica
| Facility | 26 | $182.67 | $246.45 | $246.45 |
Midlands
| Facility | 26 | $182.67 | $187.99 | $288.66 |