| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.56 | $161.38 | $272.01 |
Cigna
| Facility | 26 | $191.04 | $191.04 | $191.04 |
Medica
| Facility | 26 | $158.93 | $158.93 | $158.93 |
Midlands
| Facility | 26 | $105.36 | $108.43 | $191.04 |