| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $35.60 | $55.80 | $96.86 |
Cigna
| Facility | 26 | $48.31 | $48.31 | $48.31 |
MVP Health Care
| Facility | 26 | $48.31 | $48.31 | $48.31 |
Univera
| Facility | 26 | $48.69 | $48.69 | $134.32 |