| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.62 | $43.65 | $134.90 |
Cigna
| Facility | 26 | $79.43 | $79.43 | $79.43 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Midlands
| Professional | 26 | $27.54 | $31.62 | $48.98 |
Midlands
| Facility | 26 | $79.43 | $79.43 | $79.43 |