| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.58 | $54.29 | $85.46 |
Cigna
| Facility | 26 | $43.04 | $43.04 | $43.04 |
MVP Health Care
| Facility | 26 | $43.04 | $43.04 | $43.04 |
Univera
| Facility | 26 | $43.61 | $43.61 | $134.58 |