| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $72.44 | $72.44 | $74.13 |
Cigna
| Facility | 26 | $426.58 | $426.58 | $426.58 |
Medica
| Facility | 26 | $346.74 | $346.74 | $346.74 |
Midlands
| Professional | 26 | $147.91 | $169.82 | $257.04 |
Midlands
| Facility | 26 | $426.58 | $426.58 | $426.58 |