| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.86 | $75.86 | $77.62 |
Cigna
| Facility | 26 | $436.52 | $436.52 | $436.52 |
Medica
| Facility | 26 | $354.81 | $354.81 | $354.81 |
Midlands
| Professional | 26 | $151.36 | $173.78 | $194.98 |
Midlands
| Facility | 26 | $436.52 | $436.52 | $436.52 |