| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.66 | $53.70 | $85.11 |
Cigna
| Facility | 26 | $13.18 | $61.66 | $89.13 |
Lucent Health
| Facility | 26 | $346.74 | $346.74 | $346.74 |
Moda Health
| Facility | 26 | $34.67 | $42.66 | $53.70 |