| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $147.91 | $208.93 | $645.65 |
Cigna
| Facility | 26 | $380.19 | $380.19 | $380.19 |
Medica
| Facility | 26 | $331.13 | $331.13 | $331.13 |
Midlands
| Professional | 26 | $131.83 | $151.36 | $165.96 |
Midlands
| Facility | 26 | $380.19 | $380.19 | $380.19 |