| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $256.42 | $1,248.63 | $2,104.66 |
Cigna
| Facility | 26 | $1,465.08 | $1,465.08 | $1,465.08 |
Medica
| Facility | 26 | $1,205.01 | $1,205.01 | $1,205.01 |
Midlands
| Facility | 26 | $806.20 | $829.68 | $1,465.08 |