| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.19 | $274.19 | $462.17 |
Cigna
| Facility | 26 | $289.38 | $289.38 | $289.38 |
Medica
| Facility | 26 | $239.22 | $239.22 | $239.22 |
Midlands
| Facility | 26 | $174.40 | $179.48 | $289.38 |