| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.06 | $311.44 | $524.96 |
Cigna
| Facility | 26 | $329.40 | $329.40 | $329.40 |
Medica
| Facility | 26 | $276.95 | $276.95 | $276.95 |
Midlands
| Facility | 26 | $201.15 | $207.01 | $329.40 |