| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.82 | $266.30 | $448.86 |
Cigna
| Facility | 26 | $281.58 | $281.58 | $281.58 |
Medica
| Facility | 26 | $238.74 | $238.74 | $238.74 |
Midlands
| Facility | 26 | $190.28 | $195.82 | $281.58 |