| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.80 | $33.29 | $61.57 |
Cigna
| Facility | 26 | $31.17 | $32.11 | $33.04 |
Hally Health
| Professional | 26 | $9.68 | $15.89 | $39.51 |
Medica
| Facility | 26 | $32.11 | $32.11 | $32.11 |
Midlands
| Facility | 26 | $32.11 | $33.04 | $49.20 |