| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.43 | $240.15 | $404.80 |
Cigna
| Facility | 26 | $256.92 | $256.92 | $256.92 |
Medica
| Facility | 26 | $207.37 | $207.37 | $207.37 |
Midlands
| Facility | 26 | $149.30 | $153.65 | $256.92 |