| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.07 | $56.49 | $90.48 |
Cigna
| Facility | 26 | $44.08 | $44.08 | $44.08 |
MVP Health Care
| Facility | 26 | $44.08 | $44.08 | $44.08 |
Univera
| Facility | 26 | $41.22 | $41.22 | $134.58 |