| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.72 | $423.05 | $713.08 |
Cigna
| Facility | 26 | $455.16 | $455.16 | $455.16 |
Medica
| Facility | 26 | $767.44 | $767.44 | $767.44 |
Midlands
| Facility | 26 | $264.63 | $272.33 | $455.16 |