| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $152.52 | $297.74 | $544.26 |
Cigna
| Facility | 26 | $301.27 | $310.32 | $319.36 |
Hally Health
| Professional | 26 | $87.02 | $147.59 | $286.75 |
Medica
| Facility | 26 | $310.32 | $1,072.58 | $1,072.58 |
Midlands
| Facility | 26 | $310.32 | $319.36 | $504.42 |