| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.53 | $79.48 | $124.18 |
Cigna
| Facility | 26 | $62.16 | $62.16 | $62.16 |
MVP Health Care
| Facility | 26 | $62.16 | $62.16 | $62.16 |
Univera
| Facility | 26 | $62.92 | $62.92 | $190.88 |