| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.89 | $177.83 | $549.54 |
Cigna
| Facility | 26 | $309.03 | $309.03 | $309.03 |
Medica
| Facility | 26 | $251.19 | $251.19 | $251.19 |
Midlands
| Professional | 26 | $107.15 | $123.03 | $186.21 |
Midlands
| Facility | 26 | $309.03 | $309.03 | $309.03 |