| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $9.11 | $11.80 | $18.45 |
Cigna
| Facility | 26 | $16.57 | $16.57 | $16.57 |
Lucent Health
| Facility | 26 | $39.27 | $100.00 | $100.00 |
Providence
| Facility | 26 | $16.57 | $16.57 | $16.57 |