| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $114.39 | $628.71 | $1,059.75 |
Cigna
| Facility | 26 | $657.54 | $657.54 | $657.54 |
Medica
| Facility | 26 | $535.50 | $535.50 | $535.50 |
Midlands
| Facility | 26 | $399.35 | $410.98 | $657.54 |