| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $160.33 | $797.48 | $1,344.21 |
Cigna
| Facility | 26 | $928.92 | $928.92 | $928.92 |
Medica
| Facility | 26 | $753.90 | $753.90 | $753.90 |
Midlands
| Facility | 26 | $501.62 | $516.23 | $928.92 |