| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.48 | $170.88 | $288.02 |
Cigna
| Facility | 26 | $178.20 | $178.20 | $178.20 |
Medica
| Facility | 26 | $148.29 | $148.29 | $148.29 |
Midlands
| Facility | 26 | $105.68 | $108.76 | $178.20 |