| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.15 | $224.57 | $378.53 |
Cigna
| Facility | 26 | $149.63 | $149.63 | $149.63 |
Medica
| Facility | 26 | $188.97 | $188.97 | $188.97 |
Midlands
| Facility | 26 | $142.28 | $146.43 | $149.63 |