| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.28 | $73.88 | $119.81 |
Cigna
| Facility | 26 | $59.30 | $59.30 | $59.30 |
MVP Health Care
| Facility | 26 | $59.30 | $59.30 | $59.30 |
Univera
| Facility | 26 | $60.21 | $60.21 | $182.81 |