| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $208.93 | $295.12 | $912.01 |
Cigna
| Facility | 26 | $537.03 | $537.03 | $537.03 |
Medica
| Facility | 26 | $457.09 | $457.09 | $457.09 |
Midlands
| Professional | 26 | $186.21 | $213.80 | $338.84 |
Midlands
| Facility | 26 | $537.03 | $537.03 | $537.03 |