| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.42 | $45.28 | $83.83 |
Cigna
| Facility | 26 | $44.84 | $46.19 | $47.53 |
Hally Health
| Professional | 26 | $12.84 | $21.14 | $42.06 |
Medica
| Facility | 26 | $46.19 | $46.19 | $46.19 |
Midlands
| Facility | 26 | $46.19 | $47.53 | $77.58 |