| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.59 | $175.81 | $296.33 |
Cigna
| Facility | 26 | $186.96 | $186.96 | $186.96 |
Medica
| Facility | 26 | $151.40 | $151.40 | $151.40 |
Midlands
| Facility | 26 | $108.54 | $111.70 | $186.96 |