| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.68 | $136.88 | $230.74 |
Cigna
| Facility | 26 | $146.94 | $146.94 | $146.94 |
Medica
| Facility | 26 | $121.12 | $121.12 | $121.12 |
Midlands
| Facility | 26 | $90.40 | $93.04 | $146.94 |