| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $174.06 | $967.05 | $1,630.04 |
Cigna
| Facility | 26 | $1,002.42 | $1,002.42 | $1,002.42 |
Medica
| Facility | 26 | $1,693.28 | $1,693.28 | $1,693.28 |
Midlands
| Facility | 26 | $622.60 | $640.74 | $1,002.42 |