| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $8.24 | $10.68 | $17.14 |
Cigna
| Facility | 26 | $15.01 | $15.01 | $15.01 |
Lucent Health
| Facility | 26 | $36.81 | $100.00 | $100.00 |
Providence
| Facility | 26 | $15.01 | $15.01 | $15.01 |