| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.07 | $108.19 | $182.36 |
Cigna
| Facility | 26 | $114.84 | $114.84 | $114.84 |
Medica
| Facility | 26 | $108.00 | $108.00 | $108.00 |
Midlands
| Facility | 26 | $69.40 | $71.42 | $114.84 |