| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $95.63 | $495.39 | $835.02 |
Cigna
| Facility | 26 | $533.34 | $533.34 | $533.34 |
Medica
| Facility | 26 | $454.15 | $454.15 | $454.15 |
Midlands
| Facility | 26 | $325.39 | $334.88 | $533.34 |