| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $63.03 | $326.88 | $550.97 |
Cigna
| Facility | 26 | $359.76 | $359.76 | $359.76 |
Medica
| Facility | 26 | $296.70 | $296.70 | $296.70 |
Midlands
| Facility | 26 | $204.24 | $210.19 | $359.76 |