| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.05 | $136.09 | $229.39 |
Cigna
| Facility | 26 | $143.82 | $143.82 | $143.82 |
Medica
| Facility | 26 | $122.62 | $122.62 | $122.62 |
Midlands
| Facility | 26 | $85.96 | $88.47 | $143.82 |