| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.83 | $97.02 | $262.61 |
Cigna
| Facility | 26 | $168.78 | $168.78 | $168.78 |
Medica
| Facility | 26 | $136.22 | $136.22 | $136.22 |
Midlands
| Facility | 26 | $97.57 | $100.41 | $168.78 |