| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.64 | $154.63 | $260.66 |
Cigna
| Facility | 26 | $165.36 | $165.36 | $165.36 |
Medica
| Facility | 26 | $278.24 | $278.24 | $278.24 |
Midlands
| Facility | 26 | $94.14 | $96.88 | $165.36 |