| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.41 | $35.49 | $60.31 |
Cigna
| Facility | 26 | $28.97 | $28.97 | $28.97 |
Excellus BCBS
| Facility | 26 | $24.01 | $24.01 | $24.01 |
MVP Health Care
| Facility | 26 | $28.97 | $28.97 | $28.97 |
Univera
| Facility | 26 | $29.51 | $29.51 | $86.83 |