| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.07 | $45.98 | $84.76 |
Cigna
| Facility | 26 | $41.81 | $41.81 | $41.81 |
MVP Health Care
| Facility | 26 | $41.81 | $41.81 | $41.81 |
Univera
| Facility | 26 | $39.14 | $39.14 | $129.02 |