| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.81 | $117.39 | $197.87 |
Cigna
| Facility | 26 | $130.19 | $130.19 | $130.19 |
Medica
| Facility | 26 | $107.50 | $107.50 | $107.50 |
Midlands
| Facility | 26 | $73.01 | $75.13 | $130.19 |