| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.84 | $404.95 | $682.57 |
Cigna
| Facility | 26 | $468.18 | $468.18 | $468.18 |
Medica
| Facility | 26 | $725.41 | $725.41 | $725.41 |
Midlands
| Facility | 26 | $264.57 | $272.27 | $468.18 |