| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $161.47 | $254.15 | $465.69 |
Cigna
| Facility | 26 | $256.86 | $264.57 | $272.27 |
Hally Health
| Professional | 26 | $83.86 | $130.53 | $246.62 |
Medica
| Facility | 26 | $586.17 | $725.41 | $725.41 |
Midlands
| Facility | 26 | $264.57 | $272.27 | $468.18 |