| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $35.52 | $187.82 | $316.58 |
Cigna
| Facility | 26 | $204.00 | $204.00 | $204.00 |
Medica
| Facility | 26 | $168.51 | $168.51 | $168.51 |
Midlands
| Facility | 26 | $120.31 | $123.82 | $204.00 |