| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $86.46 | $297.74 | $797.73 |
Cigna
| Facility | 26 | $504.42 | $504.42 | $504.42 |
Medica
| Facility | 26 | $1,072.58 | $1,072.58 | $1,072.58 |
Midlands
| Facility | 26 | $310.32 | $319.36 | $504.42 |