| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.89 | $343.77 | $579.45 |
Cigna
| Facility | 26 | $359.16 | $359.16 | $359.16 |
Medica
| Facility | 26 | $303.95 | $303.95 | $303.95 |
Midlands
| Facility | 26 | $215.18 | $221.44 | $359.16 |