| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.13 | $15.85 | $21.88 |
Cigna
| Facility | 26 | $5.62 | $26.30 | $38.02 |
Lucent Health
| Facility | 26 | $147.91 | $147.91 | $147.91 |
Moda Health
| Facility | 26 | $14.13 | $15.85 | $19.05 |
Providence
| Facility | 26 | $5.62 | $26.30 | $38.02 |