| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.05 | $19.50 | $20.42 |
Cigna
| Facility | 26 | $3.98 | $18.62 | $26.92 |
Health Alliance Plan
| Facility | 26 | $14.13 | $33.11 | $38.90 |
Priority Health
| Facility | 26 | $3.98 | $18.62 | $26.92 |