| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $97.98 | $98.26 | $98.26 |
Cigna
| Facility | 26 | $571.32 | $571.32 | $571.32 |
Medica
| Facility | 26 | $460.18 | $460.18 | $460.18 |
Midlands
| Facility | 26 | $306.12 | $315.02 | $571.32 |