| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $190.55 | $245.47 | $295.12 |
Cigna
| Facility | 26 | $72.44 | $338.84 | $489.78 |
Lucent Health
| Facility | 26 | $2,691.53 | $2,691.53 | $2,691.53 |
Moda Health
| Facility | 26 | $190.55 | $245.47 | $295.12 |