| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $67.95 | $379.21 | $639.19 |
Cigna
| Facility | 26 | $393.24 | $393.24 | $393.24 |
Medica
| Facility | 26 | $690.00 | $690.00 | $690.00 |
Midlands
| Facility | 26 | $243.61 | $250.70 | $393.24 |