| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.02 | $134.69 | $228.48 |
Cigna
| Facility | 26 | $113.90 | $113.90 | $113.90 |
Excellus BCBS
| Facility | 26 | $93.42 | $93.42 | $93.42 |
MVP Health Care
| Facility | 26 | $113.90 | $113.90 | $113.90 |
Univera
| Facility | 26 | $114.89 | $114.89 | $339.05 |