| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $123.03 | $173.78 | $537.03 |
Cigna
| Facility | 26 | $288.40 | $288.40 | $288.40 |
Medica
| Facility | 26 | $245.47 | $245.47 | $245.47 |
Midlands
| Professional | 26 | $100.00 | $114.82 | $173.78 |
Midlands
| Facility | 26 | $288.40 | $288.40 | $288.40 |