| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.95 | $183.70 | $309.64 |
Cigna
| Facility | 26 | $186.66 | $186.66 | $186.66 |
Medica
| Facility | 26 | $161.97 | $161.97 | $161.97 |
Midlands
| Facility | 26 | $115.32 | $118.68 | $186.66 |