| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $60.90 | $325.72 | $549.02 |
Cigna
| Facility | 26 | $350.34 | $350.34 | $350.34 |
Medica
| Facility | 26 | $284.58 | $284.58 | $284.58 |
Midlands
| Facility | 26 | $198.58 | $204.37 | $350.34 |