| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $5.61 | $7.29 | $11.15 |
Cigna
| Facility | 26 | $10.01 | $10.01 | $10.01 |
Lucent Health
| Facility | 26 | $24.54 | $100.00 | $100.00 |
Providence
| Facility | 26 | $10.01 | $10.01 | $10.01 |