| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.80 | $255.64 | $430.90 |
Cigna
| Facility | 26 | $259.08 | $259.08 | $259.08 |
Medica
| Facility | 26 | $224.82 | $224.82 | $224.82 |
Midlands
| Facility | 26 | $158.07 | $162.68 | $259.08 |