| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.72 | $121.96 | $205.58 |
Cigna
| Facility | 26 | $132.00 | $132.00 | $132.00 |
Medica
| Facility | 26 | $221.60 | $221.60 | $221.60 |
Midlands
| Facility | 26 | $78.23 | $80.51 | $132.00 |