| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.05 | $46.99 | $78.65 |
Cigna
| Facility | 26 | $40.56 | $40.56 | $40.56 |
MVP Health Care
| Facility | 26 | $40.56 | $40.56 | $40.56 |
Univera
| Facility | 26 | $41.11 | $41.11 | $111.62 |