| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.71 | $46.77 | $47.86 |
Cigna
| Facility | 26 | $9.55 | $44.67 | $63.10 |
Health Alliance Plan
| Facility | 26 | $22.39 | $52.48 | $61.66 |
Priority Health
| Facility | 26 | $9.55 | $44.67 | $63.10 |