| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $137.61 | $137.61 | $137.61 |
Cigna
| Facility | 26 | $297.20 | $306.12 | $315.02 |
Hally Health
| Professional | 26 | $104.92 | $156.93 | $7,334.16 |
Medica
| Facility | 26 | $306.12 | $306.12 | $306.12 |
Midlands
| Facility | 26 | $306.12 | $315.02 | $571.32 |