| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.19 | $75.48 | $122.04 |
Cigna
| Facility | 26 | $60.17 | $60.17 | $60.17 |
MVP Health Care
| Facility | 26 | $60.17 | $60.17 | $60.17 |
Univera
| Facility | 26 | $60.95 | $60.95 | $187.57 |