| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $73.42 | $393.99 | $664.10 |
Cigna
| Facility | 26 | $419.76 | $419.76 | $419.76 |
Medica
| Facility | 26 | $352.14 | $352.14 | $352.14 |
Midlands
| Facility | 26 | $254.06 | $261.45 | $419.76 |