| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.20 | $18.62 | $23.44 |
Cigna
| Facility | 26 | $3.80 | $17.78 | $25.12 |
Health Alliance Plan
| Facility | 26 | $14.45 | $23.44 | $39.81 |
Priority Health
| Facility | 26 | $3.80 | $17.78 | $25.12 |