| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.20 | $18.20 | $107.15 |
Cigna
| Facility | 26 | $63.10 | $66.07 | $67.61 |
Hally Health
| Professional | 26 | $20.42 | $34.67 | $63.10 |
Medica
| Facility | 26 | $66.07 | $66.07 | $100.00 |
Midlands
| Professional | 26 | $40.74 | $46.77 | $83.18 |
Midlands
| Facility | 26 | $67.61 | $67.61 | $67.61 |