| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $199.53 | $281.84 | $870.96 |
Cigna
| Facility | 26 | $501.19 | $501.19 | $501.19 |
Medica
| Facility | 26 | $1,071.52 | $1,071.52 | $1,071.52 |
Midlands
| Professional | 26 | $173.78 | $199.53 | $316.23 |
Midlands
| Facility | 26 | $501.19 | $501.19 | $501.19 |