| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.47 | $94.17 | $149.85 |
Cigna
| Facility | 26 | $131.86 | $131.86 | $131.86 |
Lucent Health
| Facility | 26 | $260.70 | $556.61 | $556.61 |
Providence
| Facility | 26 | $131.86 | $131.86 | $131.86 |