| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.54 | $132.97 | $224.14 |
Cigna
| Facility | 26 | $140.34 | $140.34 | $140.34 |
Medica
| Facility | 26 | $115.03 | $115.03 | $115.03 |
Midlands
| Facility | 26 | $83.61 | $86.04 | $140.34 |