| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.36 | $41.69 | $74.13 |
Cigna
| Facility | 26 | $12.59 | $58.88 | $83.18 |
Lucent Health
| Facility | 26 | $323.59 | $323.59 | $323.59 |
Moda Health
| Facility | 26 | $32.36 | $37.15 | $74.13 |
Providence
| Facility | 26 | $12.59 | $58.88 | $83.18 |