| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.92 | $27.54 | $27.54 |
Cigna
| Facility | 26 | $5.62 | $26.30 | $38.02 |
Health Alliance Plan
| Facility | 26 | $20.42 | $50.12 | $56.23 |
Priority Health
| Facility | 26 | $5.62 | $26.30 | $38.02 |