| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $96.71 | $522.19 | $880.18 |
Cigna
| Facility | 26 | $556.79 | $556.79 | $556.79 |
Medica
| Facility | 26 | $455.64 | $455.64 | $455.64 |
Midlands
| Facility | 26 | $324.22 | $333.67 | $556.79 |