| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $40.75 | $206.32 | $347.77 |
Cigna
| Facility | 26 | $224.58 | $224.58 | $224.58 |
Medica
| Facility | 26 | $193.75 | $193.75 | $193.75 |
Midlands
| Facility | 26 | $140.16 | $144.24 | $224.58 |