| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $151.26 | $798.13 | $1,345.32 |
Cigna
| Facility | 26 | $860.40 | $860.40 | $860.40 |
Medica
| Facility | 26 | $714.54 | $714.54 | $714.54 |
Midlands
| Facility | 26 | $506.69 | $521.45 | $860.40 |