| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.15 | $54.58 | $100.83 |
Cigna
| Facility | 26 | $51.87 | $53.43 | $54.98 |
Hally Health
| Professional | 26 | $15.92 | $23.40 | $89.23 |
Medica
| Facility | 26 | $53.43 | $80.00 | $80.00 |
Midlands
| Facility | 26 | $53.43 | $54.98 | $95.34 |