| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.99 | $176.31 | $297.18 |
Cigna
| Facility | 26 | $127.74 | $127.74 | $127.74 |
Medica
| Facility | 26 | $147.54 | $147.54 | $147.54 |
Midlands
| Facility | 26 | $110.33 | $113.55 | $127.74 |