| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.53 | $193.55 | $326.25 |
Cigna
| Facility | 26 | $187.26 | $187.26 | $187.26 |
Medica
| Facility | 26 | $190.00 | $190.00 | $190.00 |
Midlands
| Facility | 26 | $120.56 | $124.07 | $187.26 |