| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $54.94 | $83.77 | $213.83 |
Cigna
| Facility | 26 | $68.38 | $68.38 | $68.38 |
MVP Health Care
| Facility | 26 | $68.38 | $68.38 | $68.38 |
Univera
| Facility | 26 | $64.51 | $64.51 | $181.92 |