| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $35.48 | $50.12 | $154.88 |
Cigna
| Facility | 26 | $89.13 | $89.13 | $89.13 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Midlands
| Professional | 26 | $30.90 | $36.31 | $54.95 |
Midlands
| Facility | 26 | $89.13 | $89.13 | $89.13 |