| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.96 | $64.64 | $105.69 |
Cigna
| Facility | 26 | $52.93 | $52.93 | $52.93 |
MVP Health Care
| Facility | 26 | $52.93 | $52.93 | $52.93 |
Univera
| Facility | 26 | $49.50 | $49.50 | $159.44 |