| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.11 | $33.88 | $35.48 |
Cigna
| Facility | 26 | $6.76 | $31.62 | $45.71 |
Health Alliance Plan
| Facility | 26 | $14.79 | $35.48 | $39.81 |
Priority Health
| Facility | 26 | $6.76 | $31.62 | $45.71 |