| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $67.81 | $316.67 | $533.77 |
Cigna
| Facility | 26 | $369.00 | $369.00 | $369.00 |
Medica
| Facility | 26 | $323.95 | $323.95 | $323.95 |
Midlands
| Facility | 26 | $207.73 | $213.78 | $369.00 |