| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.12 | $272.18 | $458.78 |
Cigna
| Facility | 26 | $295.38 | $295.38 | $295.38 |
Medica
| Facility | 26 | $252.69 | $252.69 | $252.69 |
Midlands
| Facility | 26 | $193.70 | $199.34 | $295.38 |