| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $58.35 | $285.64 | $481.49 |
Cigna
| Facility | 26 | $335.04 | $335.04 | $335.04 |
Medica
| Facility | 26 | $274.01 | $274.01 | $274.01 |
Midlands
| Facility | 26 | $184.87 | $190.26 | $335.04 |