| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.72 | $10.72 | $13.49 |
Cigna
| Facility | 26 | $2.19 | $10.23 | $14.79 |
Health Alliance Plan
| Facility | 26 | $10.00 | $11.22 | $21.38 |
Priority Health
| Facility | 26 | $2.19 | $10.23 | $14.79 |