| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $35.79 | $197.17 | $332.35 |
Cigna
| Facility | 26 | $206.28 | $206.28 | $206.28 |
Medica
| Facility | 26 | $175.23 | $175.23 | $175.23 |
Midlands
| Facility | 26 | $129.87 | $133.66 | $206.28 |