| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.93 | $57.49 | $105.92 |
Cigna
| Facility | 26 | $59.25 | $61.03 | $62.81 |
Hally Health
| Professional | 26 | $16.91 | $27.95 | $53.00 |
Medica
| Facility | 26 | $61.03 | $297.00 | $297.00 |
Midlands
| Facility | 26 | $61.03 | $62.81 | $98.22 |