| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.99 | $26.92 | $37.15 |
Cigna
| Facility | 26 | $9.55 | $44.67 | $63.10 |
Lucent Health
| Facility | 26 | $239.88 | $239.88 | $239.88 |
Moda Health
| Facility | 26 | $23.99 | $26.92 | $30.90 |
Providence
| Facility | 26 | $9.55 | $44.67 | $63.10 |