| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.25 | $178.62 | $301.08 |
Cigna
| Facility | 26 | $184.98 | $184.98 | $184.98 |
Medica
| Facility | 26 | $156.38 | $156.38 | $156.38 |
Midlands
| Facility | 26 | $111.95 | $115.21 | $184.98 |