| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $232.42 | $311.48 | $495.39 |
Cigna
| Facility | 26 | $315.92 | $325.39 | $334.88 |
Hally Health
| Professional | 26 | $93.39 | $159.33 | $361.50 |
Medica
| Facility | 26 | $325.39 | $454.15 | $454.15 |
Midlands
| Facility | 26 | $325.39 | $334.88 | $533.34 |