| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.56 | $13.74 | $21.03 |
Cigna
| Facility | 26 | $18.52 | $18.52 | $18.52 |
Lucent Health
| Facility | 26 | $49.08 | $100.00 | $100.00 |
Providence
| Facility | 26 | $18.52 | $18.52 | $18.52 |