| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $190.55 | $263.03 | $812.83 |
Cigna
| Facility | 26 | $478.63 | $478.63 | $478.63 |
Medica
| Facility | 26 | $794.33 | $794.33 | $794.33 |
Midlands
| Professional | 26 | $165.96 | $186.21 | $288.40 |
Midlands
| Facility | 26 | $478.63 | $478.63 | $478.63 |