| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.09 | $18.47 | $27.96 |
Cigna
| Facility | 26 | $25.18 | $25.18 | $25.18 |
Lucent Health
| Facility | 26 | $100.00 | $129.00 | $129.00 |
Providence
| Facility | 26 | $25.18 | $25.18 | $25.18 |