| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.79 | $97.72 | $302.00 |
Cigna
| Facility | 26 | $173.78 | $173.78 | $173.78 |
Medica
| Facility | 26 | $144.54 | $144.54 | $144.54 |
Midlands
| Professional | 26 | $60.26 | $69.18 | $77.62 |
Midlands
| Facility | 26 | $173.78 | $173.78 | $173.78 |