| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.02 | $119.65 | $201.68 |
Cigna
| Facility | 26 | $123.84 | $123.84 | $123.84 |
Medica
| Facility | 26 | $108.06 | $108.06 | $108.06 |
Midlands
| Facility | 26 | $76.59 | $78.81 | $123.84 |