| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.52 | $77.26 | $130.59 |
Cigna
| Facility | 26 | $63.56 | $63.56 | $63.56 |
MVP Health Care
| Facility | 26 | $63.56 | $63.56 | $63.56 |
Univera
| Facility | 26 | $65.09 | $65.09 | $185.78 |