| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.46 | $42.54 | $65.42 |
Cigna
| Facility | 26 | $58.98 | $58.98 | $58.98 |
Lucent Health
| Facility | 26 | $121.19 | $246.05 | $246.05 |
Providence
| Facility | 26 | $58.98 | $58.98 | $58.98 |