| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.39 | $36.54 | $76.84 |
Cigna
| Facility | 26 | $30.82 | $30.82 | $30.82 |
Excellus BCBS
| Facility | 26 | $25.34 | $25.34 | $25.34 |
MVP Health Care
| Facility | 26 | $30.82 | $30.82 | $30.82 |
Univera
| Facility | 26 | $31.47 | $31.47 | $144.18 |