| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.00 | $14.31 | $21.90 |
Cigna
| Facility | 26 | $19.67 | $19.67 | $19.67 |
Lucent Health
| Facility | 26 | $48.89 | $80.00 | $83.60 |
Providence
| Facility | 26 | $19.67 | $19.67 | $19.67 |