| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.46 | $137.60 | $231.93 |
Cigna
| Facility | 26 | $146.10 | $146.10 | $146.10 |
Medica
| Facility | 26 | $125.91 | $125.91 | $125.91 |
Midlands
| Facility | 26 | $87.59 | $90.14 | $146.10 |