| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.84 | $43.56 | $79.84 |
Cigna
| Facility | 26 | $43.17 | $44.47 | $45.76 |
Hally Health
| Professional | 26 | $12.44 | $19.80 | $45.29 |
Medica
| Facility | 26 | $44.47 | $100.00 | $100.00 |
Midlands
| Facility | 26 | $44.47 | $45.76 | $72.23 |