| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $115.47 | $614.84 | $1,036.35 |
Cigna
| Facility | 26 | $666.72 | $666.72 | $666.72 |
Medica
| Facility | 26 | $1,122.16 | $1,122.16 | $1,122.16 |
Midlands
| Facility | 26 | $381.15 | $392.25 | $666.72 |