| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.73 | $108.04 | $182.10 |
Cigna
| Facility | 26 | $114.66 | $114.66 | $114.66 |
Medica
| Facility | 26 | $192.88 | $192.88 | $192.88 |
Midlands
| Facility | 26 | $68.13 | $70.12 | $114.66 |