| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $53.51 | $85.60 | $139.68 |
Cigna
| Facility | 26 | $68.56 | $68.56 | $68.56 |
MVP Health Care
| Facility | 26 | $68.56 | $68.56 | $68.56 |
Univera
| Facility | 26 | $69.56 | $69.56 | $210.84 |