| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $109.65 | $151.36 | $467.74 |
Cigna
| Facility | 26 | $257.04 | $257.04 | $257.04 |
Medica
| Facility | 26 | $223.87 | $223.87 | $223.87 |
Midlands
| Professional | 26 | $89.13 | $104.71 | $120.23 |
Midlands
| Facility | 26 | $257.04 | $257.04 | $257.04 |