| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.53 | $32.72 | $60.57 |
Cigna
| Facility | 26 | $30.76 | $30.76 | $30.76 |
Excellus BCBS
| Facility | 26 | $25.17 | $25.17 | $25.17 |
MVP Health Care
| Facility | 26 | $30.76 | $30.76 | $30.76 |
Univera
| Facility | 26 | $31.25 | $31.25 | $88.08 |