| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $81.97 | $129.22 | $154.69 |
Cigna
| Facility | 26 | $114.94 | $114.94 | $114.94 |
Lucent Health
| Facility | 26 | $237.22 | $455.64 | $492.86 |
Providence
| Facility | 26 | $114.94 | $114.94 | $114.94 |