| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.96 | $73.51 | $119.14 |
Cigna
| Facility | 26 | $58.98 | $58.98 | $58.98 |
MVP Health Care
| Facility | 26 | $58.98 | $58.98 | $58.98 |
Univera
| Facility | 26 | $59.66 | $59.66 | $179.56 |