| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $49.51 | $274.49 | $462.68 |
Cigna
| Facility | 26 | $285.77 | $285.77 | $285.77 |
Medica
| Facility | 26 | $240.42 | $240.42 | $240.42 |
Midlands
| Facility | 26 | $173.96 | $179.02 | $285.77 |