| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.26 | $74.15 | $121.95 |
Cigna
| Facility | 26 | $60.00 | $60.00 | $60.00 |
MVP Health Care
| Facility | 26 | $60.00 | $60.00 | $60.00 |
Univera
| Facility | 26 | $60.98 | $60.98 | $183.93 |