| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $101.43 | $119.21 | $191.80 |
Cigna
| Facility | 26 | $93.76 | $93.76 | $93.76 |
MVP Health Care
| Facility | 26 | $93.76 | $93.76 | $93.76 |
Univera
| Facility | 26 | $95.65 | $95.65 | $271.58 |