| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.08 | $136.09 | $229.39 |
Cigna
| Facility | 26 | $146.22 | $146.22 | $146.22 |
Medica
| Facility | 26 | $119.85 | $119.85 | $119.85 |
Midlands
| Facility | 26 | $85.16 | $87.64 | $146.22 |