| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $65.95 | $350.86 | $591.39 |
Cigna
| Facility | 26 | $381.84 | $381.84 | $381.84 |
Medica
| Facility | 26 | $328.17 | $328.17 | $328.17 |
Midlands
| Facility | 26 | $228.38 | $235.03 | $381.84 |