| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.08 | $351.96 | $593.26 |
Cigna
| Facility | 26 | $406.38 | $406.38 | $406.38 |
Medica
| Facility | 26 | $1,078.00 | $1,078.00 | $1,078.00 |
Midlands
| Facility | 26 | $227.79 | $234.43 | $406.38 |