| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $49.97 | $290.73 | $490.05 |
Cigna
| Facility | 26 | $288.66 | $288.66 | $288.66 |
Medica
| Facility | 26 | $246.45 | $246.45 | $246.45 |
Midlands
| Facility | 26 | $182.67 | $187.99 | $288.66 |